Individual
MS. ASHLEY HAYNES HOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2117 BROADWAY DRIVE, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Mailing address
2117 BROADWAY DRIVE, HATTIESBURG, MS 39402-3210
(601) 288-8050
(601) 288-8058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C5392
MS
1041C0700X
Clinical Social Worker
Primary
C5392
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122900
—
MS
01
—
800012938
MEDICARE RAILROAD
MS
Enumeration date
06/14/2006
Last updated
04/10/2025
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