Individual
ASHLEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 PALMAR ST, BOSSIER CITY, LA 71111-5317
(318) 676-8081
Mailing address
1417 PALMAR ST, BOSSIER CITY, LA 71111-5317
(318) 676-8081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417460262
—
LA
Enumeration date
04/10/2018
Last updated
04/10/2018
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