| Ashley Shapiro, Llc | |
|
1102 Williams St Valdosta GA 31601-4041 | |
| (229) 515-8026 | |
| Not Available |
| Full Name | Ashley Shapiro, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1102 Williams St, Valdosta, Georgia |
| Authorized Official Name and Position | Ashley Fink Shapiro (OWNER) |
| Authorized Official Contact | 2295158026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Shapiro, Llc 1102 Williams St Valdosta GA 31601-4041 Ph: () - | Ashley Shapiro, Llc 1102 Williams St Valdosta GA 31601-4041 Ph: (229) 515-8026 |
| NPI Number | 1144707480 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144707480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005736 (Georgia) | Primary |
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