Individual
CARLY AMBUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4430 ARAPAHOE AVE STE 100, BOULDER, CO 80303-1196
(720) 310-0570
Mailing address
6753 COORS ST, PO BOX 804, ARVADA, CO 80004-1364
(814) 366-0402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009925257
CO
104100000X
Social Worker
SW131972
PA
Other
Enumeration date
05/20/2021
Last updated
01/26/2024
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