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Individual

JASMINE SILLEMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 SOUTH AVENUE B, CROWELL, TX 79227
(940) 684-1511
Mailing address
PO BOX 464, CROWELL, TX 79227-0464

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
66939
TX

Other

Enumeration date
07/20/2023
Last updated
07/20/2023
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