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Individual

ASHLEY PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
875 COLE CT, COVINGTON, LA 70433-7904
(985) 750-5237
Mailing address
875 COLE CT, COVINGTON, LA 70433-7904
(985) 750-5237

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15372
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000000
LA
Enumeration date
05/04/2018
Last updated
11/27/2023
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