Individual
ASHLEY SHANTEL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(561) 846-9173
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013201
VA
1041C0700X
Clinical Social Worker
149021034
IL
1041C0700X
Clinical Social Worker
LC50081926
DC
Other
Enumeration date
10/03/2020
Last updated
04/12/2022
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