Individual
TERESA SHILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, IBCLC, LCCE, CD
Contact information
Practice address
2507 NORTHWOODS LOOP RD, MOUNT VERNON, WA 98273-8586
(360) 395-5034
Mailing address
2507 NORTHWOODS LOOP RD, MOUNT VERNON, WA 98273-8586
(360) 395-5034
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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