Individual
ASHLEY L WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
19 DAVIS ST, DOUGLAS, MA 01516-2311
(508) 476-4200
Mailing address
PO BOX 1106, DOUGLAS, MA 01516-1106
(443) 610-8038
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
123707
MA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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