Individual
EBONY MARIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3200
Mailing address
29420 GUY ST, SOUTHFIELD, MI 48076-1865
(734) 620-3048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801088625
MI
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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