Individual
ASHLEE LYNN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-5176
Mailing address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010614A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300080039
—
IN
Enumeration date
08/22/2023
Last updated
05/06/2024
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