Individual
MRS. ASHLEY C MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2116 W LABURNUM AVE, RICHMOND, VA 23227-4359
(804) 254-3500
(804) 254-1616
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014234
VA
Other
Enumeration date
08/04/2022
Last updated
09/20/2024
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