Individual
ASHLEY BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7210 TILLEY DR, HAMMOND, IN 46324-2136
(708) 513-1391
Mailing address
7210 TILLEY DR, HAMMOND, IN 46324-2136
(708) 513-1391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150108965
IL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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