Individual
ASHLEY MARIE SHONIBARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2740 W FOSTER AVE STE 113, CHICAGO, IL 60625-3547
(773) 293-5300
(773) 293-5346
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801097317
MI
1041C0700X
Clinical Social Worker
Primary
149019637
IL
Other
Enumeration date
09/16/2015
Last updated
12/04/2023
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