Individual
MRS. EBONY JONES STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1451 TRAFALGAR WAY, HAMPTON, GA 30228-3211
(478) 595-1952
Mailing address
1451 TRAFALGAR WAY, HAMPTON, GA 30228-3211
(478) 595-1952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007366
GA
171W00000X
Contractor
—
—
Other
Enumeration date
12/29/2017
Last updated
12/28/2023
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