DEIDRE ASHLEY
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1992038079- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 640 E BROADWAY AVE, JACKSON, WY, 830018642
- Phone
- (307) 733-2046
- Fax
- (307) 733-6289
Specialties & Taxonomies
Counselor, Mental Health
License: WY #785
Day Training, Developmentally Disabled Services
License: WY
Social Worker, Clinical
Primary License: WY #785