Individual
EBONY RAGINE WILLIAMSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
3824 BARRETT DR STE 105, RALEIGH, NC 27609
(919) 790-7775
Mailing address
1140 KILDAIRE FARM RD STE 201, CARY, NC 27511-4597
(919) 495-0356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P013201
NC
Other
Enumeration date
02/12/2019
Last updated
04/05/2019
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