HOLLY KELLY AMBROSE

PORT SAINT LUCIE, FL
NPI1437783222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149008654)
Enumeration Date2020-03-02
Last Update Date2024-02-09
Business Address
HOLLY KELLY AMBROSE LCSW
11 BRISA LN
PORT SAINT LUCIE, FL 34952-7920
Phone number: 331-210-4513
Mailing Address
HOLLY KELLY AMBROSE LCSW
11 BRISA LN
PORT SAINT LUCIE, FL 34952-7920
Phone number: 331-210-4513