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Individual

MOLLY ASHBAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 CARDIFS AVE, SPRINGFIELD, IL 62704-1146
(217) 971-9650
Mailing address
2600 CARDIFS AVE, SPRINGFIELD, IL 62704-1146
(217) 971-9650

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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