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Individual

ASHLEY MAURIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9200 MONTGOMERY RD STE 23B, MONTGOMERY, OH 45242-7794
(513) 999-5425
Mailing address
9200 MONTGOMERY RD STE 23B, MONTGOMERY, OH 45242-7794

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
C.2002871
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0386732
OH
Enumeration date
12/24/2019
Last updated
09/16/2022
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