Individual
AMBUR RAE GREGORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3749 COUNTRY LN, GORDONVILLE, PA 17529-9681
(610) 883-6005
Mailing address
3749 COUNTRY LN, GORDONVILLE, PA 17529-9681
(610) 883-6005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137472
PA
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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