Individual
EBONY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13524 MANN AVE, EAST CLEVELAND, OH 44112
(216) 482-8839
Mailing address
13524 MANN AVE, EAST CLEVELAND, OH 44112-2438
(216) 482-8839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
376K00000X
Nurse's Aide
401090920510
OH
Other
Enumeration date
02/24/2017
Last updated
06/29/2018
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