Provider Information for 1538392741
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ASHLEY M CORTEZ LCSW 89978
Sex: Female
NPI: 1538392741
Last Updated: 2024-06-10
Certification Date: 2024-06-10
Certification Date: 2024-06-10
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538392741 | ||||||||||||
| Enumeration Date | 2009-09-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2729 LARAMIE RD RIVERSIDE, CA 92506-3309 United States Phone: 562-322-3758 | Fax: | ||||||||||||
| Primary Practice Address | 2729 LARAMIE RD RIVERSIDE, CA 92506-3309 United States Phone: 562-322-3758 | Fax: | ||||||||||||
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