Individual
MISS ASHLEY HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
800 W CONGRESS ST STE D, LAFAYETTE, LA 70501-5749
(337) 504-5994
(337) 504-5994
Mailing address
800 W CONGRESS ST STE D, LAFAYETTE, LA 70501-5749
(337) 504-5994
(337) 504-5994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4081
LA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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