Individual
ASHLEY CHANNELLE MODESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000
Mailing address
1305 IDLEWILD BLVD, FREDERICKSBURG, VA 22401-6603
(407) 276-2135
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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