Provider Information for 1255030995
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DUSTIN ASH LCSW
Sex: Male
NPI: 1255030995
Last Updated: 2023-03-02
Certification Date: 2023-03-02
Certification Date: 2023-03-02
Details
| Name | Value | ||||||||
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| NPI | 1255030995 | ||||||||
| Enumeration Date | 2023-03-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 747 TERRELL, TX 75160-0014 United States Phone: 972-388-2000 | Fax:972-524-1002 | ||||||||
| Primary Practice Address | 395 N MAIN ST PARIS, TX 75460-4253 United States Phone: 903-737-2475 | Fax:903-737-2479 | ||||||||
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