Individual
BARBARA AMBOMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11405 HERSHEY RED PL, CLINTON, MD 20735-2622
(202) 823-8881
Mailing address
9517 MUIRKIRK RD APT 101, LAUREL, MD 20708-2767
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
1407535396
DC
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/17/2023
Last updated
01/23/2025
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