Individual
CHRISTINA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
18 MILLER ST, WOOLWICH, ME 04579-4573
(207) 443-8912
Mailing address
18 MILLER ST, WOOLWICH, ME 04579-4573
(207) 443-8912
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP667
ME
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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