Individual
MISS ASHLEY MARIE MARYYANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
65 LAKE AVE APT 820, WORCESTER, MA 01604-1163
(774) 670-8485
Mailing address
65 LAKE AVE APT 820, WORCESTER, MA 01604-1163
(774) 670-8485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120800
MA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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