Most Relevant Information
Provider Data
| NPI Number: | 1003250804 |
| Provider Name: | ASHLEY CAROLINE WOMBACHER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2013 |
| Last Updated: | 04/23/2013 |
Provider Practice Location
350 N MAIN ST
HOYLETON
IL
628032006
Practice Location Phone/Fax
| Phone: | 6184937382 |
| Fax: | 6184936390 |
Provider Mailing Location
350 N MAIN ST
P.O. BOX 218
HOYLETON
IL
628032006
Provider Mailing Phone/Fax
| Phone: | 6184937382 |
| Fax: | 6184936390 |