Individual
EBONY APRIL MAVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 TARIAN WAY, DECATUR, GA 30034-2900
(281) 891-9200
Mailing address
3017 TARIAN WAY, DECATUR, GA 30034-2900
(281) 891-9200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
75379
TX
Other
Enumeration date
06/18/2020
Last updated
02/04/2024
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