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General NPI Number Information
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NPI Number | 1386940120
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Entity Type | Individual
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Provider Name | ASHLEY WATERHOUSE LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2 SHAKER RD SUITE C208
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City | SHINEY
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State | MA
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Zip | 01464
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Country | US
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Telephone | 508-960-9312
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Fax |
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Provider Business Mailing Address
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Address Line | 24 BENNETT PL
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City | LEOMINSTER
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State | MA
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Zip | 01453
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Country | US
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Telephone | 978-761-5156
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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