Individual
EBONY MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207
(904) 493-7744
Mailing address
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207-3691
(904) 718-8285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
FL
Enumeration date
08/20/2018
Last updated
08/20/2018
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