Individual
EBONY ROBINSON-MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4402 HAYLOCK DR, ORLANDO, FL 32807-1010
(407) 701-6619
Mailing address
4402 HAYLOCK DR, ORLANDO, FL 32807-1010
(407) 701-6619
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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