Provider Demographics
NPI:1891422697
Name:LOWERY, ASHLEIGH MARIE (LSWAIC)
Entity Type:Individual
Prefix:MS
First Name:ASHLEIGH
Middle Name:MARIE
Last Name:LOWERY
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 AVENUE D STE 100
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2773
Mailing Address - Country:US
Mailing Address - Phone:360-360-0408
Mailing Address - Fax:
Practice Address - Street 1:207 AVENUE D STE 100
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2773
Practice Address - Country:US
Practice Address - Phone:360-360-0408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA612819371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical