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General NPI Number Information
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NPI Number | 1518753755
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Entity Type | Individual
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Provider Name | ASHLEY N MARTIN LLMSW
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 323 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-2322
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Country | US
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Telephone | 762-698-9510
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Fax |
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Provider Business Mailing Address
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Address Line | 1506 YORKSHIRE DR APT 6
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City | HOWELL
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State | MI
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Zip | 48843-1056
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Country | US
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Telephone | 248-606-8934
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851119167
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License Number State | MI
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