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Individual

ASHLEY ANNE CRIMMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
528 OAK ST, SYRACUSE, NY 13203-1643
(315) 810-2191
Mailing address
528 OAK ST, SYRACUSE, NY 13203-1643
(315) 810-2191

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
096543
NY
1041C0700X
Clinical Social Worker
Primary
095559
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096543
LMSW
NY
Enumeration date
12/12/2019
Last updated
11/18/2025
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