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Ashley Clark

NPI 1497466080 · on the registry since 2022 · sole proprietor

Practice

Address
934 Pleasant St
Richmond, VA 23223
Phone
(804) 421-3237
Organisation at this address
Supportive Residential Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia