Individual
ASHLEY BALTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3236 HOLMESTOWN RD, SUITE E-1, MYRTLE BEACH, SC 29588-7495
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10874
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW1025
—
SC
Enumeration date
09/23/2014
Last updated
03/31/2015
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