Provider Information for 1942721808
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JASMINE TEMPLETON LCPC
Sex: Female
NPI: 1942721808
Last Updated: 2022-01-31
Certification Date: 2022-01-31
Certification Date: 2022-01-31
Details
| Name | Value | ||||||||||||
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| NPI | 1942721808 | ||||||||||||
| Enumeration Date | 2017-06-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 128 IRONWOOD CT ROSEDALE, MD 21237-4071 United States Phone: 802-324-2510 | Fax: | ||||||||||||
| Primary Practice Address | 128 IRONWOOD CT ROSEDALE, MD 21237-4071 United States Phone: 802-324-2510 | Fax: | ||||||||||||
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