Individual
JASMINE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1745 PHOENIX BLVD STE 100, ATLANTA, GA 30349-5534
(404) 823-3514
Mailing address
4671 CRESTED BUTTE RD, AUGUSTA, GA 30909-9144
(803) 466-5539
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009385
GA
1041S0200X
School Social Worker
1449618
GA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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