Individual
DARRIN AMBROSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
13395 N MARANA MAIN ST BLDG B, MARANA, AZ 85653-7008
(520) 682-1091
(520) 616-1442
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-1091
(520) 616-1442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-21024
AZ
1041C0700X
Clinical Social Worker
LMSW-17909
AZ
Other
Enumeration date
12/07/2022
Last updated
12/16/2022
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