Ashley, Laura G

Ashley, Laura G is an sole proprietor health care provider with primary practice located at 30537 Potomac Way Suite 102, Charlotte Hall MD 20622-3179. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ashley, Laura G can be contacted via phone (301) 884-4225.

Contact Information

Primary practice address
30537 Potomac Way Suite 102 Charlotte Hall MD 20622-3179
Fax: (301) 884-2525
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13055 Maryland

Profile Details

NPI number 1265553747
LBN Legal business name Ashley, Laura G
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Apr 22nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265553747 NPPES
Maryland MEDICAID 58956180

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