Individual
EBONIE TAYLOR-DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
1435 GARFIELD ST, NEW BERN, NC 28560-3615
(252) 665-5551
Mailing address
1435 GARFIELD ST, NEW BERN, NC 28560-3615
(252) 665-5551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
P010808
NC
1041C0700X
Clinical Social Worker
Primary
P010808
NC
Other
Enumeration date
11/17/2016
Last updated
08/08/2019
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