Individual
MS. EBONEE TROUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 690-9701
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
INTERN
MA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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