SHADOW JASMIN

WAUNAKEE, WI
NPI1962057463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  6526-123)
Enumeration Date2019-08-02
Last Update Date2025-03-24
Business Address
SHADOW JASMIN LCSW, LMT
251 PROGRESS WAY
WAUNAKEE, WI 53597-2520
Phone number: 608-409-3400
Mailing Address
SHADOW JASMIN LCSW, LMT
1950 FOGGY MOUNTAIN PASS
WAUNAKEE, WI 53597-2383
Phone number: 608-409-3400