Individual
EBONY ELLZEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 LAFAYETTE ST STE 144, GRETNA, LA 70053-5758
(504) 372-1810
Mailing address
2131 GENERAL COLLINS AVE, NEW ORLEANS, LA 70114-5027
(504) 372-1810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12216
LA
1041S0200X
School Social Worker
12216
LA
Other
Enumeration date
06/27/2019
Last updated
11/12/2019
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