Individual
AMBAR JACQUELINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 W METROPOLITAN DR STE 404, ORANGE, CA 92868-3504
(714) 645-8045
Mailing address
4000 W METROPOLITAN DR STE 404, ORANGE, CA 92868-3504
(714) 645-8045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103450
CA
Other
Enumeration date
12/17/2015
Last updated
08/27/2024
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