Individual
MRS. ASHLEY FOGG BAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
31 JOHN CLARKE RD, MIDDLETOWN, RI 02842-5641
(401) 848-4123
(401) 848-4156
Mailing address
28 GIBBS AVE, NEWPORT, RI 02840-1824
(850) 685-0537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9004
SC
1041C0700X
Clinical Social Worker
3716
HI
1041C0700X
Clinical Social Worker
Primary
ISW02440
RI
Other
Enumeration date
04/18/2008
Last updated
05/23/2014
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