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Individual
MRS. ASHLEY FOGG BAIZE
Active
Individual
MRS. ASHLEY FOGG BAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9004
SC
1041C0700X
Clinical Social Worker
3716
HI
1041C0700X
Clinical Social Worker
Primary
ISW02440
RI
Other
Enumeration date
04/18/2008
Last updated
05/23/2014
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