Individual
MS. EBONIE KITTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
229 TURNER DR, REIDSVILLE, NC 27320-5736
(336) 349-2233
Mailing address
308 VICTOR PL APT 4L, GREENSBORO, NC 27406-1779
(336) 458-6868
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018269
NC
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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