Individual
MRS. MARY ASHLEY BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CLC, LCCE, IBCLC
Contact information
Practice address
11512 ROBERT RD, LOUISVILLE, KY 40223-2523
(502) 819-9205
Mailing address
11512 ROBERT RD, LOUISVILLE, KY 40223-2523
(502) 819-9205
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11126823
KY
374J00000X
Doula
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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