Individual
ASHLEY BOUKNIGHT WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Mailing address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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