Individual
MRS. ASHLEY DUCE BASFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4294 3RD AVE, MARIANNA, FL 32446-2137
(850) 526-3191
Mailing address
6542 GREEN RD, GREENWOOD, FL 32443-2170
(850) 209-2607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12610
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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