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Individual

ASHLEY ANCRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(478) 697-7291
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199448
GA

Other

Enumeration date
03/10/2022
Last updated
03/10/2022
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