Individual
ASHLEY NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5350 W 124TH ST, HAWTHORNE, CA 90250-3437
(310) 940-0921
Mailing address
5350 W 124TH ST, HAWTHORNE, CA 90250-3437
(310) 940-0921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102868
CA
Other
Enumeration date
12/28/2021
Last updated
03/18/2022
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