Individual
ASHLEY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9652 PINTAIL TRL, JONESBORO, GA 30238-5822
(470) 246-7503
Mailing address
9652 PINTAIL TRL, JONESBORO, GA 30238-5822
(470) 246-7503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008396
GA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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