Provider Information for 1164995106
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ASHLEY MCCABE LSCSW, LAC
Sex: Female
NPI: 1164995106
Last Updated: 2023-01-20
Certification Date: 2023-01-20
Certification Date: 2023-01-20
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164995106 | ||||||||||||||||
| Enumeration Date | 2019-01-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | PO BOX 747 MANHATTAN, KS 66505-0747 United States Phone: 785-762-5250 | Fax: | ||||||||||||||||
| Primary Practice Address | 814 CAROLINE AVE JUNCTION CITY, KS 66441-5210 United States Phone: 785-762-5250 | Fax: | ||||||||||||||||
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