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General NPI Number Information
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NPI Number | 1720633878
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Entity Type | Individual
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Provider Name | JASMIN CHANTEL GARCIA LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 616 CHARLES ST STE 106
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City | LA PLATA
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State | MD
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Zip | 20646-5938
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Country | US
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Telephone | 301-609-5469
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Fax | 301-392-6006
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Provider Business Mailing Address
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Address Line | 616 CHARLES ST STE 106
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City | LA PLATA
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State | MD
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Zip | 20646-5938
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Country | US
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Telephone | 301-609-5469
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Fax | 301-392-6006
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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 | 24363
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License Number State | MD
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