Individual
ASHLEY WELMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L, CLC
Contact information
Practice address
7 GINGER CREEK VLG, GLEN CARBON, IL 62034-3517
(618) 656-7157
Mailing address
7 GINGER CREEK VLG, GLEN CARBON, IL 62034-3517
(618) 656-7157
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
ALPP-208865
IL
225X00000X
Occupational Therapist
Primary
056.010538
IL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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