Individual
ASHLEY LUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 RIVERSTONE PKWY, CANTON, GA 30114-5328
(470) 863-3090
Mailing address
535 RIVERSTONE PKWY, CANTON, GA 30114-5328
(470) 863-3090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
02/08/2022
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