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Individual

ASHLEY DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1048 WILDWOOD CENTRE DR STE 207, COLUMBIA, SC 29229-8420
(803) 999-3752
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(615) 724-4722

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-67284
225C00000X
Rehabilitation Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82
AMERIGROUP
NV
05
82
NV
Enumeration date
01/12/2015
Last updated
01/25/2019
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