Individual
ASHLEY LYNN RAYBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4783
Mailing address
629 3RD ST, GULFPORT, MS 39501-2224
(228) 234-1514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8201
MS
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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