Individual
EBONY PLUMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 WRIGHT AVE STE D, CROWLEY, LA 70526-2226
(337) 514-5181
Mailing address
PO BOX 1359, SUNSET, LA 70584-1359
(337) 551-3704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
07/23/2023
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