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Individual

HOLLY AMBRUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
Mailing address
1820 S 25TH AVE, BROADVIEW, IL 60155-3960
(708) 681-0073

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/02/2021
Last updated
07/02/2021
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