Provider Information for 1073209045
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ASHLEY MCCRACKEN LCSW
Sex: Female
NPI: 1073209045
Last Updated: 2023-04-13
Certification Date: 2023-04-13
Certification Date: 2023-04-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073209045 | ||||||||
| Enumeration Date | 2023-04-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5351 PRESERVE BLVD SAINT CLOUD, FL 34772-7889 United States Phone: 828-458-4580 | Fax: | ||||||||
| Primary Practice Address | 5351 PRESERVE BLVD SAINT CLOUD, FL 34772-7889 United States Phone: 828-458-4580 | Fax: | ||||||||
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