Individual
AMBILI MARIAM ALAMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 KENSEY PARK LN, GROVETOWN, GA 30813-4242
(708) 228-0192
Mailing address
712 KENSEY PARK LN, GROVETOWN, GA 30813-4242
(708) 228-0192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010296
IL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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