Individual
LAYDEAN WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6160 GORE RD, ASHTABULA, OH 44004-8624
(216) 990-0420
Mailing address
1249 LAKE RD, CONNEAUT, OH 44030-1140
(440) 637-4846
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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