Individual
EBONY C COGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
Mailing address
9521 GRAND DIVISION AVE APT 2, CLEVELAND, OH 44125-1451
(216) 298-2221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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