Individual
ASHLEY N BREVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 607-5229
Mailing address
5201 RAYMOND ST, ORLANDO, FL 32803-8208
(407) 646-5500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW13943
FL
1041C0700X
Clinical Social Worker
Primary
SW13943
FL
Other
Enumeration date
06/22/2011
Last updated
09/15/2021
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