Individual
EBONY LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 3RD ST NE FL 2, WASHINGTON, DC 20002
(855) 325-3909
Mailing address
1140 3RD ST NE FL 2, WASHINGTON, DC 20002-6723
(855) 325-3909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16780
MD
1041C0700X
Clinical Social Worker
Primary
LC50080005
DC
Other
Enumeration date
12/04/2014
Last updated
05/18/2019
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