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Individual

DR. ASHLEY B ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
557 GRANTS FERRY RD, BRANDON, MS 39047-9023
(601) 665-4162
Mailing address
609 OAKVIEW WAY, BYRAM, MS 39272-8754
(601) 941-6453
(601) 878-9083

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M7921
MS
1041C0700X
Clinical Social Worker
Primary
C7921
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09423034
MS
Enumeration date
04/16/2013
Last updated
03/02/2022
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