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NPI Code Detail

MEDICARE: MISS ASHLEY LYNNETTE BONTON LCSW

MEDICARE: MISS ASHLEY LYNNETTE BONTON 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
1104100000XSocial WorkerLSW-2387HI
21041C0700XClinical Social Worker103488CA

General Provider Information

NPI Number : 1174045157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEY LYNNETTE BONTON LCSW
Provider Business Mailing Address
First Line : 2158 PYRAMID DR
Second Line :
City : RICHMOND
State : CA
Zip : 94803-3220
Country : US
Telephone Number : 757-701-0653
Fax Number :
Provider Business Practice Location Address
First Line : 555 FRANKLIN ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-4414
Country : US
Telephone Number : 415-894-0661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 08/26/2021

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Directions to “ MISS ASHLEY LYNNETTE BONTON LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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