Individual
ASHTON RAYE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 S MAIN STREET, MOUNTAIN HOME, AR 72653-3143
(870) 425-1041
(870) 425-1049
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
8481-C
MO
Other
Enumeration date
07/05/2017
Last updated
07/17/2020
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