Individual
MR. JAMES ROBERT EBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.S.W.
Contact information
Practice address
220 BAGLEY ST, SUITE 700, DETROIT, MI 48226-1400
(313) 965-2141
(313) 961-4612
Mailing address
23140 BOLAM AVE, WARREN, MI 48089-4416
(586) 498-5875
(313) 961-4612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801079240
MI
1041C0700X
Clinical Social Worker
6801079240
MI
Other
Enumeration date
01/16/2007
Last updated
09/11/2025
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