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NPI Code Detail

MEDICARE: ASHLEY RENEE DEPREZ LCSW

MEDICARE: ASHLEY RENEE DEPREZ 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 Worker34004325AIN

General Provider Information

NPI Number : 1871727651
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY RENEE DEPREZ LCSW
Provider Business Mailing Address
First Line : 6020 GUILFORD AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1909
Country : US
Telephone Number : 317-506-7405
Fax Number :
Provider Business Practice Location Address
First Line : 6524 CARROLLTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1617
Country : US
Telephone Number : 317-413-9813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2009
Last Update Date : 05/08/2009

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Directions to “ ASHLEY RENEE DEPREZ LCSW” Practice Location

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