Individual
MS. EBONY SHAREE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-5927
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-5927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW126425
BUREAU OF PROFESSIONA AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
11/07/2008
Last updated
11/07/2008
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