Individual
ASHLEY DANIELLE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
183 W CLINTON ST, GRAY, GA 31032-5301
(478) 955-8899
Mailing address
PO BOX 818, GRAY, GA 31032-0818
(478) 955-8899
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011650
GA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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