Provider Demographics
NPI:1780577767
Name:AMBORD, STELLARAE YUZE
Entity type:Individual
Prefix:
First Name:STELLARAE
Middle Name:YUZE
Last Name:AMBORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-0045
Mailing Address - Country:US
Mailing Address - Phone:320-363-5011
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 45
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-0045
Practice Address - Country:US
Practice Address - Phone:320-363-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker