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Individual
DR. WIDMAYER AMBROISE
Active
Individual
DR. WIDMAYER AMBROISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
171R00000X
Interpreter
—
MA
172A00000X
Driver
—
MA
225800000X
Recreation Therapist
—
MA
225C00000X
Rehabilitation Counselor
—
MA
251K00000X
Public Health or Welfare Agency
—
MA
251S00000X
Community/Behavioral Health Agency
—
MA
253Z00000X
In Home Supportive Care Agency
Primary
—
MA
372500000X
Chore Provider
—
MA
372600000X
Adult Companion
—
MA
376J00000X
Homemaker
—
MA
385HR2055X
Child Mental Illness Respite Care
—
MA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
MA
Other
Enumeration date
10/07/2021
Last updated
05/02/2022
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