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NPI Code Detail

MEDICARE: ASHLEY PACK LMSW

MEDICARE:   ASHLEY  PACK  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker17452LA

General Provider Information

NPI Number : 1437989704
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PACK LMSW
Provider Business Mailing Address
First Line : 3084 WESTFORK DR STE C
Second Line :
City : BATON
State : LA
Zip : 70814-8034
Country : US
Telephone Number : 225-960-1813
Fax Number :
Provider Business Practice Location Address
First Line : 3084 WESTFORK DR STE C
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-2254
Country : US
Telephone Number : 225-960-1813
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2024
Last Update Date : 02/02/2026

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Directions to “ ASHLEY PACK LMSW” Practice Location

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