Individual
EBONEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 REDLAND CT STE 204, OWINGS MILLS, MD 21117-3266
(410) 581-7800
Mailing address
500 REDLAND CT STE 204, OWINGS MILLS, MD 21117-3266
(410) 581-7800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1632
MD
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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