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Individual

ASHLEY WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 402-2811
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 402-2811

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
085098
NY

Other

Enumeration date
09/13/2012
Last updated
08/25/2014
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