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Individual
MR. AMBROSE RESA JR.
Active
Individual
MR. AMBROSE RESA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.012351
IL
101YM0800X
Mental Health Counselor
Primary
39004060A
IN
Other
Enumeration date
11/03/2016
Last updated
08/29/2022
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