Individual
MISS ASHLEY NICOLE BOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC INTERN
Contact information
Practice address
3 MERCYCARE LN, GUILDERLAND, NY 12084-3504
(518) 452-6700
(518) 452-6756
Mailing address
3 MERCYCARE LN, GUILDERLAND, NY 12084-3504
(518) 452-6700
(518) 452-6756
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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