Individual
BLAIR AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
278 PLEASANT ST, CONCORD, NH 03301-2551
(603) 226-0817
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 226-7570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1398
NH
Other
Enumeration date
01/19/2007
Last updated
12/04/2007
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