Individual
ERICA AMBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LW60977611
Contact information
Practice address
8350 VERDE CIR, EL PASO, TX 79907-4233
(206) 900-4640
Mailing address
8350 VERDE CIR, EL PASO, TX 79907-4233
(206) 900-4640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60977611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60977611
DOH
WA
Enumeration date
12/10/2021
Last updated
05/07/2024
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