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Ashmodel Riley

Social Worker in Somerville, MA. Individual provider (NPI-1).

NPI number1982195004
StatusActive
Last updated in NPPESMay 24, 2018

Details

NPI
1982195004
Entity type
Individual (NPI-1)
Name
Ashmodel Riley
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2018
Last updated
May 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

111 South St
Somerville, MA 02143-4297

Phone 617-659-3020

Mailing address

111 South St
Somerville, MA 02143-4297

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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