Individual
MS. JUDITH SUSAN ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2040 BROOKSTONE CT, LITHIA SPRINGS, GA 30122-2040
(678) 662-7258
Mailing address
2040 BROOKSTONE CT, LITHIA SPRINGS, GA 30122-2040
(678) 662-7258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003319
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920828531A
—
GA
Enumeration date
05/04/2007
Last updated
09/26/2012
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