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General NPI Number Information
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NPI Number | 1043769193
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Entity Type | Individual
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Provider Name | JASMINE WEBSTER LCSW, LMFT-IT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 3200 W HIGHLAND BLVD
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City | MILWAUKEE
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State | WI
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Zip | 53208-3252
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Country | US
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Telephone | 414-342-4560
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Fax |
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Provider Business Mailing Address
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Address Line | 11241 SYNERGY DR APT 350
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City | WAUWATOSA
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State | WI
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Zip | 53222-1345
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Country | US
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Telephone | 414-737-5252
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 106H00000X
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 106H00000X
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | WI
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