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Individual

MRS. EBONI LANIER JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW C006748

Contact information

Practice address
411 W CHAPEL HILL ST, SUITE 908, DURHAM, NC 27701-3616
(919) 419-3474
(919) 419-9353
Mailing address
411 W. CHAPEL HILL ST, SUITE 908, DURHAM, NC 27701-3616
(919) 419-3474
(919) 419-9353

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P003072
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6007550
NC
01
C006748
LCSW
NC
01
P003072
PROVISIONAL LICENSE #
NC
Enumeration date
01/20/2007
Last updated
12/14/2010
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