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General NPI Number Information
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NPI Number | 1609793314
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Entity Type | Individual
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Provider Name | JASMINE EVANS LSW
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 12 WOLF CREEK DR STE 100
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City | SWANSEA
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State | IL
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Zip | 62226-2314
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Country | US
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Telephone | 314-239-2728
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Fax | 949-561-4148
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Provider Business Mailing Address
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Address Line | 2914 SAND SPUR CT
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City | FLORISSANT
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State | MO
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Zip | 63031-8801
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Country | US
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Telephone | 557-208-0266
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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 | 150118901
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License Number State | IL
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