Provider Information for 1760882740
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TARA ASHLEY LCSW
Sex: Female
NPI: 1760882740
Last Updated: 2023-12-18
Certification Date: 2023-12-18
Certification Date: 2023-12-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760882740 | ||||||||||||
| Enumeration Date | 2014-08-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 21 CRAZY MOUNTAIN VISTA RD COLUMBUS, MT 59019-7205 United States Phone: 406-409-9913 | Fax: | ||||||||||||
| Primary Practice Address | 21 CRAZY MOUNTAIN VISTA RD COLUMBUS, MT 59019-7205 United States Phone: 406-409-9913 | Fax: | ||||||||||||
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