Individual
MRS. EBONIE L. WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4605 PEMBROKE LAKE CIR STE 200, VIRGINIA BEACH, VA 23455-6436
(757) 395-7237
(757) 321-6269
Mailing address
PO BOX 13296, CHESAPEAKE, VA 23325-0296
(757) 714-1838
(757) 321-6269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006451
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000398195
UNITED BEHAVIORAL HEALTH
VA
01
—
2659993
CIGNA BEHAVIORAL
VA
Enumeration date
10/25/2007
Last updated
11/28/2009
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