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Individual

MS. EBONY SHANICE AULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
632 HAMPTON DR, OXON HILL, MD 20745-2669
(301) 247-8198
Mailing address
632 HAMPTON DR, OXON HILL, MD 20745-2669
(301) 247-8198

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21673
MD
104100000X
Social Worker
LG50081073
DC

Other

Enumeration date
01/16/2023
Last updated
01/16/2023
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