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Individual

MS. ANDREA TERESA ASHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4666 RANDALWOOD DR, STONE MOUNTAIN, GA 30083-4350
(404) 343-4840
(678) 705-5512
Mailing address
4666 RANDALWOOD DR, STONE MOUNTAIN, GA 30083-4350
(404) 343-4840
(678) 705-5512

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CLA001274
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056582532A
GA
Enumeration date
05/19/2015
Last updated
05/19/2015
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