Individual
ANNA EBORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 465-5922
(860) 456-1164
Mailing address
123 BEVERLY RD, WEST HARTFORD, CT 06119-1712
(860) 268-0227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11025
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2016
Last updated
05/16/2020
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