Individual
MS. ASHLYNN GRACE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
30826 LINDER RD, DENHAM SPRINGS, LA 70726-8507
(225) 665-7878
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(225) 665-7878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18543
LA
Other
Enumeration date
06/10/2024
Last updated
08/04/2025
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