Individual
EBONI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
411 WARFIELD DR, APT 3008, LANDOVER, MD 20785-5524
(706) 340-6521
Mailing address
411 WARFIELD DR, APT 3008, LANDOVER, MD 20785-5524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17902
MD
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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