Individual
EBONE- TIYASIA MARIA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMHP-S
Contact information
Practice address
13508 E BOUNDARY RD STE E, MIDLOTHIAN, VA 23112-3989
(804) 801-7113
Mailing address
5913 BELSTON CT, NORTH CHESTERFIELD, VA 23234-3214
(804) 252-6144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906012374
VA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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