Amanda Lyn Ashworth

NPI 1780956136 - Counselor - 101YM0800X

NPI Details
NPI 1780956136
Gender Female
Enumeration Date 02/01/2012
Last Updated 02/01/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2495 W MARCH LN
SUITE 125
STOCKTON CA, 95207-8251, US
Phone (209) 465-1080
Fax (209) 465-2709
Business Location
2495 W MARCH LN
SUITE 125
STOCKTON CA, 95207-8251, US
Phone (209) 465-1080
Fax (209) 465-2709
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Ms. Amanda Lyn Ashworth NPI is 1780956136, taxonomy code is 101YM0800X Amanda Lyn Ashworth physically located at 2495 W March Ln, Stockton CA, 95207-8251. NPI Number Amanda Lyn Ashworth has the Individual type.

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1780956136 NPI number is provided on an as is basis without warranty of any kind. 1780956136 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Lyn Ashworth are for informational purposes only.