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Individual
EBONY STARR WARREN
Active
Individual
EBONY STARR WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
61543364
WA
101YM0800X
Mental Health Counselor
Primary
MC61543364
WA
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/03/2021
Last updated
04/22/2024
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