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Individual

ALISON ASHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
(207) 941-6100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14515
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC14515
BOARD OF SOCIAL WORK LICENCE
ME
Enumeration date
12/28/2011
Last updated
10/22/2021
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