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Individual

EBONY STUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
(513) 772-6177
Mailing address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(513) 772-6166
(513) 772-6177

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2002549
OH
101YM0800X
Mental Health Counselor
Primary
C.2002549
OH

Other

Enumeration date
10/14/2010
Last updated
08/02/2022
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