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Megan R Ambros, LCSW

Social Worker, Clinical in Mequon, WI. Individual provider (NPI-1).

NPI number1245806330
StatusActive
Last updated in NPPESJan 8, 2022

Details

NPI
1245806330
Entity type
Individual (NPI-1)
Name
Megan R Ambros
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2021
Certification date
Jan 8, 2022
Last updated
Jan 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical9675-123WIYes

Practice location

11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459

Phone 262-789-1191

Mailing address

11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459

Phone 262-789-1191 · Fax 262-478-0030

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