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Individual

EBONY DESHAWN CHRISTOPHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23824 HAWTHORNE BLVD STE 20023824, TORRANCE, CA 90505-5935
(310) 791-3064
Mailing address
23824 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-5935
(310) 791-3064

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/23/2022
Last updated
08/01/2025
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