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Individual
EBONY DOWDELL PETERSON
Active
Individual
EBONY DOWDELL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW007391
GA
1041C0700X
Clinical Social Worker
26463-C
AZ
1041C0700X
Clinical Social Worker
Primary
CSW007391
GA
1041C0700X
Clinical Social Worker
TPSW4121
FL
171W00000X
Contractor
—
NULL
Other
Enumeration date
11/25/2020
Last updated
10/28/2025
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