Individual
EBONI L. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5430 CHILTERN HILLS TRL, CHARLOTTE, NC 28215-5306
(704) 516-5570
Mailing address
5430 CHILTERN HILLS TRL, CHARLOTTE, NC 28215-5306
(704) 516-5570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NC
Other
Enumeration date
06/09/2011
Last updated
04/07/2023
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