Individual
MS. ASHLEY BREE FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3448 BOSTON RD, BRONX, NY 10469-2512
(718) 547-6111
Mailing address
3448 BOSTON RD, BRONX, NY 10469-2512
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
079634-1
NY
1041C0700X
Clinical Social Worker
Primary
080531-1
NY
Other
Enumeration date
02/10/2010
Last updated
04/07/2014
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