Individual
JASMINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 TRAILWATER CHASE NW, ACWORTH, GA 30102-6996
(678) 789-8001
Mailing address
PO BOX 2646, ACWORTH, GA 30102-0012
(404) 465-4290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007216
GA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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