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MATHILDE AMBROISE MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1457765745

Individual Registrant:
 MATHILDE  AMBROISE MFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10800 N MILITARY TRL SUITE 223 PALM BEACH GARDENS, FL 33410-6500 US
Tel: 561-515-5347  Fax: 561-404-4147

Contact information for business:
10800 N MILITARY TRL SUITE 223 PALM BEACH GARDENS, FL 33410-6500 US
Tel: 561-515-5347  Fax: 561-404-4147

Registration Information:
NPI: 1457765745
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
FLIMT 1901

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCEIMT 1901FL01




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