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NPI Code Detail

MEDICARE: ASHLEY STAFFORD LCSW

MEDICARE: ASHLEY STAFFORD LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker63341TX

General Provider Information

NPI Number : 1336685346
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY STAFFORD LCSW
Provider Business Mailing Address
First Line : 3359 CROMART AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-1439
Country : US
Telephone Number : 214-674-0798
Fax Number :
Provider Business Practice Location Address
First Line : 3509 HULEN ST STE 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6834
Country : US
Telephone Number : 214-674-7098
Fax Number : 817-396-7085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2017
Last Update Date : 08/06/2023

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Directions to “ ASHLEY STAFFORD LCSW” Practice Location

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