Individual
ASHLEY MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.S. CCC-SLP
Contact information
Practice address
10201 S CICERO AVE, OAK LAWN, IL 60453-4098
(708) 232-8763
Mailing address
10201 S CICERO AVE, OAK LAWN, IL 60453-4098
(708) 232-8763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016045
IL
Other
Enumeration date
10/21/2021
Last updated
07/11/2022
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