Individual
EBONY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
1001 FREDERICK RD UNIT 9365, CATONSVILLE, MD 21228-7511
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R207332
MD
Other
Enumeration date
12/12/2025
Last updated
12/23/2025
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