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MS. ANDREA TERESA ASHE

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1891174256

Individual Registrant:
MS. ANDREA TERESA ASHE 
Gender: F
Sole Proprietor

Location and contact information for practice:
4666 RANDALWOOD DR  STONE MOUNTAIN, GA 30083-4350 US
Tel: 404-343-4840  Fax: 678-705-5512

Contact information for business:
4666 RANDALWOOD DR  STONE MOUNTAIN, GA 30083-4350 US
Tel: 404-343-4840  Fax: 678-705-5512

Registration Information:
NPI: 1891174256
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health
GACLA001274

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
056582532AGA05




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