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Individual

ASHLEY SADE BRANTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IP, PRS

Contact information

Practice address
873 SHOSHONE AVE, AKRON, OH 44305-1161
(330) 618-0943
Mailing address
873 SHOSHONE AVE, AKRON, OH 44305-1161
(330) 618-0943

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
OH
175T00000X
Peer Specialist
OH
3747P1801X
Personal Care Attendant
Primary
OH

Other

Enumeration date
08/30/2024
Last updated
08/30/2024
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