Individual
ASHTIN KASEY DICOCHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 865-3529
Mailing address
5310 PARK RD, CHARLOTTE, NC 28209-3648
(910) 705-1698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011285
NC
Other
Enumeration date
12/01/2015
Last updated
05/19/2022
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