| Ebony Brown | |
|
58 Blakely Ct Lillington NC 27546-9620 | |
| (910) 689-6567 | |
| Not Available |
| Full Name | Ebony Brown |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 58 Blakely Ct, Lillington, North Carolina |
| Authorized Official Name and Position | Ebony Renee Brown (THERAPIST) |
| Authorized Official Contact | 9106896567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebony Brown 58 Blakely Ct Lillington NC 27546-9620 Ph: (910) 689-6567 | Ebony Brown 58 Blakely Ct Lillington NC 27546-9620 Ph: (910) 689-6567 |
| NPI Number | 1104215870 |
|---|---|
| Provider Enumeration Date | 01/17/2015 |
| Last Update Date | 01/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104215870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P008484 (North Carolina) | Primary |
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