Individual
MRS. EBONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 GARVIN BLVD, SHARON HILL, PA 19079-1317
(610) 809-4183
Mailing address
203 GARVIN BLVD, SHARON HILL, PA 19079-1317
(610) 809-4183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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