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Individual

EBONY GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
2532 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 226-7860
Mailing address
2532 N BROAD ST, PHILADELPHIA, PA 19132-4013
(215) 226-7860

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251B0000X
PA

Other

Enumeration date
12/30/2014
Last updated
12/30/2014
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