Individual
JASMINE CHARLENE BACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
261 BUSINESS PARK BLVD APT 631, COLUMBIA, SC 29203-8913
(803) 394-0292
Mailing address
261 BUSINESS PARK BLVD APT 631, COLUMBIA, SC 29203-8913
(803) 394-0292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15352
SC
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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