Individual
ANN E IMBURGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
11 1ST ST SE, FORT WALTON BEACH, FL 32548-5839
(850) 244-2825
(850) 664-9146
Mailing address
11 1ST ST SE, FORT WALTON BEACH, FL 32548-5839
(850) 244-2825
(850) 664-9146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4741
FL
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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