Individual
EBONNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 544-3050
(734) 544-6732
Mailing address
555 TOWNER YPSILANTI, YPSILANTI, MI 48198
(734) 544-3050
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801101434
MI
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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