Individual
ASHLEY D WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6372 MECHANICSVILLE TPKE, SUITE 103, MECHANICSVILLE, VA 23111-4705
(804) 730-4690
(804) 559-0333
Mailing address
6372 MECHANICSVILLE TPKE, SUITE 103, MECHANICSVILLE, VA 23111-4705
(804) 730-4690
(804) 559-0333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009558
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9892
GROUP PTAN
VA
01
—
C05700
GROUP PTAN
VA
01
—
C06115
GROUP PTAN
VA
Enumeration date
10/20/2016
Last updated
10/20/2016
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