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Individual

ASHLEY LAUREN SANSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
2311 HEDGE AVE, WATERFORD, MI 48327-1140
(248) 872-6168

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904019568
VA
1041C0700X
Clinical Social Worker
33839
MD
1041C0700X
Clinical Social Worker
Primary
6801099438
MI
1041C0700X
Clinical Social Worker
SW19941
FL

Other

Enumeration date
06/03/2016
Last updated
12/03/2025
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