Shadow Jasmin, LCSW, LMT

NPI #1962057463 in Waunakee, Wisconsin

Provider Information

NPI Number: 1962057463
Entity Type: Individual
Name: Shadow Jasmin, LCSW, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, LMT
Enumeration Date: Aug 2, 2019
Last Updated: Mar 24, 2025

Practice Location

Address: 251 PROGRESS WAY
City: Waunakee
State: Wisconsin
ZIP Code: 53597-2520
Phone: (608) 409-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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