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Individual

EBONY SWAIN BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RIC

Contact information

Practice address
3630 S PLAZA TRL STE 200, VIRGINIA BEACH, VA 23452-3364
(757) 306-9100
Mailing address
1112 GENERAL ST, VIRGINIA BEACH, VA 23464-5239
(757) 717-6002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/08/2022
Last updated
01/08/2022
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