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Individual

ASHLEY CHARBONNEAU

Active
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Individual

ASHLEY CHARBONNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087207-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02995857
NY
01
1497737167
AGENCY NPI
NY
01
W12L71
MEDICARE PIN
NY
Enumeration date
08/27/2018
Last updated
08/27/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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