LEROY AMBROSE

PHILADELPHIA, PA
NPI1295171965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
-- LEROY AMBROSE MS
2514 N. BROAD ST.
PHILADELPHIA, PA 19132
Phone number: 610-547-3904
Mailing Address
-- LEROY AMBROSE MS
38 HARDING AVE
MORTON, PA 19070-1503
Phone number: 610-547-3904
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