Individual
MS. ASHATA KAI MUMPFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
3527 NORMAN BRIDGE RD, MONTGOMERY, AL 36105-2312
(334) 224-1562
Mailing address
3527 NORMAN BRIDGE RD, MONTGOMERY, AL 36105-2312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2457C
AL
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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