Individual
GWYN ASHMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 481-3073
(609) 747-8864
Mailing address
651 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 481-3073
(609) 747-8864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05435100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495719
—
NJ
Enumeration date
02/01/2016
Last updated
12/11/2019
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