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Individual

MS. CARSON ASHBY WASSERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
2330 VICTORY PKWY, STE. 500, CINCINNATI, OH 45206-2839
(513) 221-2330
(513) 221-8954
Mailing address
2330 VICTORY PKWY, STE. 500, CINCINNATI, OH 45206-2839
(513) 221-2330
(513) 221-8954

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S0500668
OH
1041C0700X
Clinical Social Worker
Primary
I0700391
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0057455
OH
Enumeration date
02/08/2007
Last updated
04/15/2015
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