Individual
ASHLEY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 SUNRISE HWY, CARONE HALL-OUTPATIENT, AMITYVILLE, NY 11701-2508
(631) 608-5022
(631) 264-4509
Mailing address
400 SUNRISE HWY, CARONE HALL-OUTPATIENT, AMITYVILLE, NY 11701-2508
(631) 608-5022
(631) 264-4509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72085232
NY
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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