Individual
ELIZABETH ANNE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 827-9136
(660) 829-0278
Mailing address
6001 CHESTNUT DR, SEDALIA, MO 65301-8939
(660) 826-7076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112858
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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