Individual
ASHLEY PETRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2411 W MAIN ST, JACKSONVILLE, AR 72076-4211
(501) 982-5402
(501) 533-6378
Mailing address
PO BOX 647, JACKSONVILLE, AR 72078-0647
(501) 982-5402
(501) 533-6378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5247-C
AR
Other
Enumeration date
03/11/2011
Last updated
09/09/2013
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