Individual
LACEY ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 PRINCESS ST, STAFFORD, VA 22556-3754
(831) 809-5655
Mailing address
9 PRINCESS ST, STAFFORD, VA 22556-3754
(831) 809-5655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018828
VA
Other
Enumeration date
03/25/2024
Last updated
07/22/2025
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