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Individual

ASHLEY ROBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2085 SCARBROUGH TRL E, STONE MOUNTAIN, GA 30088-4323
(770) 570-0034
Mailing address
2085 SCARBROUGH TRL E, STONE MOUNTAIN, GA 30088-4323
(770) 570-0034

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
106S00000X
Behavior Technician

Other

Enumeration date
11/22/2020
Last updated
11/22/2020
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