Individual
JASMINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 SE 2ND ST STE D, LEES SUMMIT, MO 64063-2654
(816) 581-3737
Mailing address
660 SE BAYBERRY LN STE 101, LEES SUMMIT, MO 64063-4264
(816) 207-8993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2019029083
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912247214
—
MO
Enumeration date
10/06/2016
Last updated
04/24/2024
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