Individual
EBONY MARIE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(404) 486-9034
Mailing address
1017 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2932
(404) 486-9034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008340
GA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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