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Individual

ASHLEY MICHELE DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APC

Contact information

Practice address
11111 HOUZE RD STE 225, ROSWELL, GA 30076-5618
(770) 603-0123
Mailing address
11111 HOUZE RD STE 225, ROSWELL, GA 30076-5618
(770) 389-8100

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC009356
GA
106S00000X
Behavior Technician
RBT-22-209655
GA

Other

Enumeration date
04/05/2022
Last updated
10/26/2023
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