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1093243990
EBONI D MORAN
GASTONIA, NC
NPI
1093243990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P011416)
Enumeration Date
2017-05-23
Last Update Date
2017-05-23
Business Address
Ms. EBONI D MORAN LCSWA
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-865-3529
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Mailing Address
Ms. EBONI D MORAN LCSWA
548 STILLGREEN LN
CHARLOTTE, NC 28214-1312
Phone number:
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