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Provider Information for 1497095061


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Miss ASHLEY DENISE HARRISON LMSW


Sex: Female

NPI: 1497095061
Last Updated: 2013-02-19
Certification Date:

Details

NameValue
NPI1497095061
Enumeration Date2013-02-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4387 NW 48TH ST APT 106
GAINESVILLE, FL 32606-7649
United States

Phone: 912-312-6385 | Fax:
 
Primary Practice Address 1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
United States

Phone: 912-312-6385 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker TN8763