Individual
ASHLEY RENEE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
626 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3320
(410) 939-8744
Mailing address
7134 DUCKETTS LN, APT# 201, ELKRIDGE, MD 21075-6872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16425
MD
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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