Individual
ASHLEY STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
924 N CABLE RD, LIMA, OH 45805-1704
(419) 969-3125
Mailing address
4214 E MAIN ST, COLUMBUS, OH 43213-3028
(614) 334-6903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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