Individual
ASHLEY BLAKE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4000
(845) 340-4070
Mailing address
239 GOLDEN HILL LN, KINGSTON, NY 12401-6441
(845) 340-4000
(845) 340-4070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02855549
—
NY
01
—
071963-1
LMSW LICENSE
NY
01
—
078480
NYS EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS LCSW
NY
Enumeration date
08/29/2006
Last updated
12/12/2013
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