Individual
ASHLEY N SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
490 MENDOCINO AVE STE 202, SANTA ROSA, CA 95401-6393
(707) 565-7817
(707) 565-4881
Mailing address
19260 WYATT RD, SONOMA, CA 95476-6221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW67281
CA
Other
Enumeration date
01/09/2014
Last updated
09/10/2015
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