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Individual
EBONIE BROWN
Active
Individual
EBONIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244624
—
NY
Enumeration date
06/29/2016
Last updated
12/07/2016
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