Individual
MRS. EBONY SHEENA WHITFLELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5600
(954) 578-6604
Mailing address
3500 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5600
(954) 578-6604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018
—
FL
Enumeration date
05/17/2010
Last updated
05/17/2010
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