Individual
LAURA S ASH-BRACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10369 AVENEL PL, MECHANICSVILLE, VA 23116-5826
(804) 363-5726
Mailing address
10369 AVENEL PL, MECHANICSVILLE, VA 23116-5826
(804) 363-5726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003990
VA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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