Individual
MIRIAM NAYELI ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 BOWERY ST APT 208, VIRGINIA BEACH, VA 23462-3757
(312) 610-2268
Mailing address
120 BOWERY ST APT 208, VIRGINIA BEACH, VA 23462-3757
(312) 610-2268
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904009835
VA
104100000X
Social Worker
149.016844
IL
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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