Individual
ASHLEY WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4193 FLAT ROCK DR STE 200, RIVERSIDE, CA 92505-7113
(951) 292-4693
Mailing address
4193 FLAT ROCK DR STE 200, RIVERSIDE, CA 92505-7113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
95696
CA
Other
Enumeration date
08/18/2020
Last updated
08/17/2021
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