| Jasmine West | |
|
1331 Trailwater Chase Nw Acworth GA 30102-6996 | |
| (678) 789-8001 | |
| Not Available |
| Full Name | Jasmine West |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1331 Trailwater Chase Nw, Acworth, Georgia |
| Authorized Official Name and Position | Jasmine West (OWNER) |
| Authorized Official Contact | 4044654290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine West Po Box 2646 Acworth GA 30102-0012 Ph: (404) 465-4290 | Jasmine West 1331 Trailwater Chase Nw Acworth GA 30102-6996 Ph: (678) 789-8001 |
| NPI Number | 1174118061 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174118061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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