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Mrs. ASHLEY FOGG BAIZE -- LICSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1245404490
Provider Type
Individual Provider (NPI-1)
Credentials
LICSW
Status
Active

Contact & Location

Address
31 JOHN CLARKE RD, MIDDLETOWN, RI, 028425641
Phone
(401) 848-4123
Fax
(401) 848-4156

Specialties & Taxonomies

Social Worker License: SC #9004
Social Worker, Clinical Primary License: RI #ISW02440
Social Worker, Clinical License: HI #3716

All Addresses

MAILING

28 GIBBS AVE

NEWPORT, RI, 028401824

(850) 685-0537

LOCATION

31 JOHN CLARKE RD

MIDDLETOWN, RI, 028425641

(401) 848-4123