Provider Information for 1972176196
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Ms. ASHLEY MCCORMICK NORTH LMHC
Sex: Female
NPI: 1972176196
Last Updated: 2025-04-07
Certification Date: 2025-04-07
Certification Date: 2025-04-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1972176196 | ||||||||
| Enumeration Date | 2021-07-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4407 TALL PINES LN MIDDLEBURG, FL 32068-6361 United States Phone: 352-636-5294 | Fax: | ||||||||
| Primary Practice Address | 4407 TALL PINES LN MIDDLEBURG, FL 32068-6361 United States Phone: 352-636-5294 | Fax: | ||||||||
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