Individual
JASMINE ASH WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
15511 95TH AVE, FLORISSANT, MO 63034-2156
(314) 213-0794
Mailing address
15511 95TH AVE, FLORISSANT, MO 63034-2156
(314) 213-0794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023043113
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021028781
LMSW
MO
05
—
490096197
—
MO
Enumeration date
05/18/2021
Last updated
12/26/2024
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