Individual
MICHELLE ALYCE D'AMBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 869-6234
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 869-6234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0903003385
VA
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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