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Individual

ASHLEY R WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1045 JAMES ST, SYRACUSE, NY 13203-7043
(315) 472-4471
Mailing address
1109 E. GENESEE ST. UNIT 2, SYRACUSE, NY 13210
(312) 813-0703

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108786-01
NY
1041C0700X
Clinical Social Worker
149.020501
IL

Other

Enumeration date
08/27/2018
Last updated
01/14/2020
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