Individual
ASHLEY STALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13136 WESTERN AVE, BLUE ISLAND, IL 60406-2423
(708) 974-5800
Mailing address
14913 S CLEVELAND AVE, POSEN, IL 60469-1538
(708) 639-3206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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