Individual
ASHLEY RUTH GAVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
63 COUNTRY LN, PENFIELD, NY 14526-1028
(585) 278-8567
Mailing address
63 COUNTRY LN, PENFIELD, NY 14526-1028
(585) 278-8567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095176-01
NY
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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