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Individual

ASHLEY CHARBONNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1808 ROUTE 6, CARMEL, NY 10512-2356
(845) 225-2700
Mailing address
1808 ROUTE 6, CARMEL, NY 10512-2356

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
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