MRS. Kathi Iula Ashlock

NPI #1285149906 in Clyde, Texas

Provider Information

NPI Number
1285149906
Entity Type
Individual
Name
MRS. Kathi Iula Ashlock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 4, 2017
Last Updated
Dec 4, 2017

Practice Location

Address
17079 PRIVATE ROAD 2251
City
Clyde
State
Texas
ZIP Code
79510-7643
Phone
(325) 529-3192

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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