Individual
MARY ELISABETH AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16 CENTER ST STE 517, NORTHAMPTON, MA 01060-3031
(413) 624-4324
Mailing address
32 CHESTNUT HL, GREENFIELD, MA 01301-3004
(774) 293-0654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
113290
NY
104100000X
Social Worker
Primary
LICSW128495
MA
Other
Enumeration date
10/06/2021
Last updated
09/13/2024
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