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Individual

ASHLEY TAMI-LYN COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMSW, LCSW-A

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
4109 REDSPIRE LN, FAYETTEVILLE, NC 28306-9382
(603) 275-9857

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
B001203
NC
104100000X
Social Worker
P020926
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/16/2024
Last updated
12/24/2024
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