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Individual

JOSEPH D'AMBROSIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LCSW, LMFT

Contact information

Practice address
4601 S 6TH ST, LOUISVILLE, KY 40214-1405
(502) 791-6090
Mailing address
4601 S 6TH ST, LOUISVILLE, KY 40214-1405
(502) 791-6090

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255511
KY
106H00000X
Marriage & Family Therapist
0796
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100334890
KY
01
K249310
MEDICARE
KY
Enumeration date
03/07/2014
Last updated
09/30/2025
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