Individual
MARIAH AMBRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
2 FOX RIDGE CT, WEST ST PAUL, MN 55118-3928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8800
MN
Other
Enumeration date
12/24/2012
Last updated
12/24/2012
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