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1538601042
MARY AMBROSE
ASHBURN, VA
NPI
1538601042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 01078899)
Enumeration Date
2016-11-15
Last Update Date
2016-11-15
Business Address
-- MARY AMBROSE MA CCC-SLP
21160 MAPLE BRANCH TER
ASHBURN, VA 20147-6160
Phone number: 571-291-6192
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Mailing Address
-- MARY AMBROSE MA CCC-SLP
21160 MAPLE BRANCH TER
ASHBURN, VA 20147-6160
Phone number: 571-291-6192
Copy
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