Individual
ASHLEY JALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 964-7220
Mailing address
7912 WATERFORD LAKES DR, APT 733, CHARLOTTE, NC 28210-9490
(804) 683-3410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P010701
NC
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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