Organization
EBONY BROWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY RENEE BROWN LCSWA (THERAPIST)
(910) 689-6567
Entity
Organization
Contact information
Practice address
58 BLAKELY CT, LILLINGTON, NC 27546-9620
(910) 689-6567
Mailing address
58 BLAKELY CT, LILLINGTON, NC 27546-9620
(910) 689-6567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P008484
NC
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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