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1134252448
EBONY CHERRY
COLUMBUS, OH
NPI
1134252448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0009418-SUPV)
Enumeration Date
2007-03-14
Last Update Date
2017-07-31
Business Address
-- EBONY CHERRY LISW
655 E LIVINGSTON AVE
COLUMBUS, OH 43205-2618
Phone number: 614-722-4044
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Mailing Address
-- EBONY CHERRY LISW
PO BOX 715194
COLUMBUS, OH 43271-5194
Phone number: 614-355-8004
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