Individual
MS. EBONI D MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 865-3529
Mailing address
548 STILLGREEN LN, CHARLOTTE, NC 28214-1312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011416
NC
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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