Individual
EBONY CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
655 E LIVINGSTON AVE, COLUMBUS, OH 43205-2618
(614) 722-4044
(614) 722-8422
Mailing address
PO BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-0509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0009418-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221650
—
OH
05
—
2846675
—
OH
Enumeration date
03/14/2007
Last updated
07/31/2017
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