Individual
EBONY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 775-2045
(773) 938-8512
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(312) 775-2045
(773) 938-8512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149022277
IL
Other
Enumeration date
07/06/2020
Last updated
02/11/2022
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