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Individual

ASHLEY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 233-7250
(337) 233-7104
Mailing address
123 WESTMARK BLVD, LAFAYETTE, LA 70506-7345
(337) 233-7250
(337) 233-7104

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1141364
LA
Enumeration date
07/09/2018
Last updated
07/09/2018
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