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Individual

ASHLEY NICOLE HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6320 VENTURE DR, LAKEWOOD RANCH, FL 34202-5130
(941) 346-6464
Mailing address
5909 13TH AVE E, BRADENTON, FL 34208-6315
(941) 893-8429

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15901
FL

Other

Enumeration date
11/11/2021
Last updated
11/11/2021
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