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1346549987
LISA L. AMBROSE
MADISON, WI
NPI
1346549987
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Former Name
LISA L. LARSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WI 16175)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
-- LISA L. AMBROSE
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
-- LISA L. AMBROSE
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number:
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