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1215424056
KELLY J AMBROSE
SPRINGFIELD, IL
NPI
1215424056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
KELLY J AMBROSE MSW
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5128
Phone number: 217-585-1180
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Mailing Address
KELLY J AMBROSE MSW
948 N PRAIRIE ST
JACKSONVILLE, IL 62650-1308
Phone number: 217-719-9149
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