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Individual

ASHLEY DURR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12958
LA
1041C0700X
Clinical Social Worker
12958
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720453343
LA
Enumeration date
12/08/2015
Last updated
04/23/2024
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