Individual
MS. ASHLEY DANIELLE HALIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4001 COMMERCIAL CENTER DR STE 2, MARION, AR 72364-9616
(870) 732-7920
Mailing address
3970 WESLEY FOREST PL W, MEMPHIS, TN 38109-3990
(901) 279-3535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11861
TN
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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