Individual
ASHALEE RENE UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SOTP-TRAINEE
Contact information
Practice address
109.5 CLAY ST, SUFFOLK, VA 23434
(757) 634-7104
Mailing address
3604 PASTURE CV, SUFFOLK, VA 23435-3227
(757) 634-7104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904013463
VA
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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