Individual
ASHLEY NICOLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3506 W TYVOLA RD, CHARLOTTE, NC 28208-7201
(704) 329-1300
Mailing address
1027 VICTORY LAKE DR, JACKSONVILLE, FL 32221-1389
(904) 955-1686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW14772
FL
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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