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Individual

MS. EBONY T MADDREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPCMH

Contact information

Practice address
3301 GREEN ST, CLAYMONT, DE 19703-2052
(302) 981-4466
Mailing address
3301 GREEN ST, CLAYMONT, DE 19703-2052
(302) 501-6641

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011145
DE
1041C0700X
Clinical Social Worker
Q3-0000249
DE

Other

Enumeration date
12/15/2006
Last updated
12/21/2023
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