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General NPI Number Information
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NPI Number | 1568882850
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Entity Type | Individual
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Provider Name | ASHLEE NICOLE CARLSEN MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 3311 W CLEARWATER AVE STE D230
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City | KENNEWICK
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State | WA
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Zip | 99336-2710
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Country | US
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Telephone | 509-870-0503
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Fax | 509-321-4248
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Provider Business Mailing Address
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Address Line | 2839 W KENNEWICK AVE PMB 245
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-750-5825
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Fax | 509-321-4248
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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 | LW61047190
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License Number State | WA
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