Individual
ASHLEY WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14115 JAMES RD, ROGERS, MN 55374-9468
(637) 575-8086
Mailing address
14115 JAMES RD STE 305, ROGERS, MN 55374-9417
(763) 575-8086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
26718
MN
1041C0700X
Clinical Social Worker
8799
CT
Other
Enumeration date
12/13/2012
Last updated
05/22/2019
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