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1194987495
MICHELLE AMBALU
GARDEN CITY, NY
NPI
1194987495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 079031)
Enumeration Date
2008-06-27
Last Update Date
2012-02-27
Business Address
Ms. MICHELLE AMBALU LCSW
111 7TH ST SUITE 111
GARDEN CITY, NY 11530-5731
Phone number: 516-828-2622
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Mailing Address
Ms. MICHELLE AMBALU LCSW
21140 18TH AVE 3J
BAYSIDE, NY 11360-1534
Phone number: 516-816-1511
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