Individual
MRS. ASHLEY BROOKE LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 414-2351
Mailing address
713 WANTOOT BLVD, CHARLESTON, SC 29407-6632
(843) 367-3490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
5321
SC
Other
Enumeration date
03/29/2007
Last updated
02/29/2012
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