Provider Information for 1043769193
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JASMINE WEBSTER LCSW, LMFT-IT
Sex: Female
NPI: 1043769193
Last Updated: 2021-02-13
Certification Date: 2021-02-13
Certification Date: 2021-02-13
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1043769193 | ||||||||||||||||||||
| Enumeration Date | 2016-09-30 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 11241 SYNERGY DR APT 350 WAUWATOSA, WI 53222-1345 United States Phone: 414-737-5252 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 3200 W HIGHLAND BLVD MILWAUKEE, WI 53208-3252 United States Phone: 414-342-4560 | Fax: | ||||||||||||||||||||
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