| Ashley F Boze Llc | |
|
1618 E 9th St Ste 104 Hopkinsville KY 42240-4430 | |
| (270) 889-8576 | |
| Not Available |
| Full Name | Ashley F Boze Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1618 E 9th St Ste 104, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Ashley Boze (LCSW/OWNER) |
| Authorized Official Contact | 2708817291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley F Boze Llc 1618 E 9th St Ste 104 Hopkinsville KY 42240-4430 Ph: (270) 889-8576 | Ashley F Boze Llc 1618 E 9th St Ste 104 Hopkinsville KY 42240-4430 Ph: (270) 889-8576 |
| NPI Number | 1174372775 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 6507302627 |
|---|---|
| Medicare Enrollment ID | O20240725001868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174372775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Boze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508949793 PECOS PAC ID: 4385883180 Enrollment ID: I20240725001932 |
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