Ashley R. Brown

NPI 1124361480 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1124361480
Enumeration Date 04/04/2013
Last Updated 07/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ASHLEY RENEE ASHLEY
Position LICENSED CLINICAL SOCIAL WORKER
Phone (618) 222-7277
Fax (618) 222-7305
Practice Location
4460 N ILLINOIS ST STE 7
SWANSEA IL, 62226-1899, US
Phone (618) 222-7277
Fax (618) 222-7305
Business Location
4460 N ILLINOIS ST STE 7
SWANSEA IL, 62226-1899, US
Phone (618) 222-7277
Fax (618) 222-7305
Toxanomy
Taxonomy Code 305R00000X
License State Illinois
License Number 149014435
Remove 1124361480 NPI Number
 

According to our database, Ashley R. Brown NPI is 1124361480, taxonomy code is 305R00000X and license number is 149014435, license state is located at Illinois. Ashley R. Brown physically located at 4460 N Illinois St Ste 7, Swansea IL, 62226-1899. NPI Number 1033115704 has the healthcare provider type.

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1124361480 NPI number is provided on an as is basis without warranty of any kind. 1124361480 is maintained by the National Plan & Provider Enumeration System. The contents of Ashley R. Brown are for informational purposes only.