Individual
ASHLEY ANTHONY WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3180 GUADALOUPE, GRAND PRAIRIE, TX 75054-6732
(601) 383-4864
Mailing address
PO BOX 12964, DALLAS, TX 75208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
55525
TX
Other
Enumeration date
12/09/2020
Last updated
01/28/2021
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