MRS. Ashley Fogg Baize, LICSW

NPI #1245404490 in Middletown, Rhode Island

Provider Information

NPI Number: 1245404490
Entity Type: Individual
Name: MRS. Ashley Fogg Baize, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Apr 18, 2008
Last Updated: May 23, 2014

Practice Location

Address: 31 JOHN CLARKE RD
City: Middletown
State: Rhode Island
ZIP Code: 02842-5641
Phone: (401) 848-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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