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1063799187
EBONY L DAVIDSON
BRIDGEPORT, CT
NPI
1063799187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: CT 3765)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2011-11-03
Last Update Date
2022-07-11
Business Address
EBONY L DAVIDSON LPC
629 JEWETT AVE
BRIDGEPORT, CT 06606-2836
Phone number: 850-264-2100
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Mailing Address
EBONY L DAVIDSON LPC
2730 OLDFIELD DR
MONROE, NC 28110-5400
Phone number: 203-423-9541
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