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Individual

ASHLEY WILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3147 CUSTER DR, LEXINGTON, KY 40517-4020
(859) 447-0855
Mailing address
220 CEDAR ST APT 102, LEXINGTON, KY 40508-2986
(618) 357-1526

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255813
KY

Other

Enumeration date
11/22/2022
Last updated
11/22/2022
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