Individual
EBONY PEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
7373 BROOKCREST DR STE 305, CINCINNATI, OH 45237-3455
(513) 445-2053
Mailing address
7373 BROOKCREST DR STE 305, CINCINNATI, OH 45237-3455
(513) 570-4068
(513) 672-1028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901776
OH
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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