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Individual

MRS. ASHLEY IVY COTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8509 BENJAMIN RD, SUITE D, TAMPA, FL 33634-1224
(813) 245-3481
Mailing address
25219 BUNTING CIR, LAND O LAKES, FL 34639-5535
(813) 245-3481

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW7773
FL
1041C0700X
Clinical Social Worker
SW13204
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
679096896-67
FL
Enumeration date
03/11/2013
Last updated
04/21/2022
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