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Individual

ASHLEY B BURTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
14546 OLD SAINT AUGUSTINE RD, BLDG 1 SUITE 317, JACKSONVILLE, FL 32258-5468
(904) 260-9445
(904) 260-0005
Mailing address
7015 A C SKINNER PKWY, SUITE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW11546
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z05PF
BC/BS
FL
Enumeration date
12/10/2013
Last updated
06/04/2014
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