Individual
KATHLEEN EBBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
295 W 11TH ST, 3D, NEW YORK, NY 10014-2444
(734) 239-1941
Mailing address
295 W 11TH ST, 3D, NEW YORK, NY 10014-2444
(734) 239-1941
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
097238
NY
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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