Individual
ASHLEY QUACKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 HOWELLS RD, BAY SHORE, NY 11706-5320
(516) 449-7651
Mailing address
160 HOWELLS RD, BAY SHORE, NY 11706-5320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
077969-01
NY
1041C0700X
Clinical Social Worker
Primary
077969
NY
1041C0700X
Clinical Social Worker
077969-01
NY
1041S0200X
School Social Worker
077969-01
NY
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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