Individual
EBONIE DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06120
(860) 263-4511
Mailing address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 263-4511
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
04/28/2014
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