Individual
GINA MARIE AMBROGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW, BCABA
Contact information
Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801099118
MI
106E00000X
Assistant Behavior Analyst
Primary
0-16-7335
MI
Other
Enumeration date
06/06/2016
Last updated
08/01/2022
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