Individual
EBONY SHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
813 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4311
(256) 519-3650
(256) 585-6713
Mailing address
813 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4311
(256) 519-3650
(256) 585-6713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3652G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
03/06/2017
Last updated
07/28/2021
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