Individual
MISS ASHLEY LAUREN BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPRS-IFPRS,CPRS
Contact information
Practice address
161 SMITH RD, FOREST, VA 24551-4009
(434) 221-4153
Mailing address
161 SMITH RD, FOREST, VA 24551-4009
(434) 221-4153
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0735000844
VA
Other
Enumeration date
08/16/2024
Last updated
02/03/2025
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