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Individual

MISS DELISHIA ASHWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677
(706) 364-1404
Mailing address
3643 WALTON WAY EXT BLDG 4, AUGUSTA, GA 30909-6677

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00287400
NJ
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/13/2016
Last updated
12/05/2018
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