Individual
JASMINE MARIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2600 DOUGLASS RD SE, WASHINGTON, DC 20020
(202) 768-7466
Mailing address
10411 MEADOWRIDGE LN, BOWIE, MD 20721-2856
(240) 277-0283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50082676
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG5008267
DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH
DC
Enumeration date
02/14/2019
Last updated
02/14/2019
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