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Individual

ASHLEY LARETTIA MERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISWCP

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
14378
SC
1041C0700X
Clinical Social Worker
Primary
17820
SC

Other

Enumeration date
09/21/2022
Last updated
08/14/2025
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