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Individual

ASIA AVERY

Active
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Individual

ASIA AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
10708
TN
104100000X
Social Worker
10708 (LMSW)
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000008588
TN

Other

Enumeration date
10/12/2015
Last updated
04/15/2024
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