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Individual

ASHLEY BOTTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
844 PICO BLVD, SANTA MONICA, CA 90405-1325
(805) 555-2552
Mailing address
5007 RIGOLETTO ST, WOODLAND HILLS, CA 91364-2819

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
05/11/2019
Last updated
05/11/2019
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