EBONI MARIE SMITH

GARY, IN
NPI1477230589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TB0200X Psychologist, Cognitive & Behavioral
(Licence: VA  0704013232)
Enumeration Date2023-06-29
Last Update Date2023-06-29
Business Address
EBONI MARIE SMITH
4121 LINCOLN ST APT 2
GARY, IN 46408-2560
Phone number: 872-301-0893
Mailing Address
EBONI MARIE SMITH
4121 LINCOLN ST APT 2
GARY, IN 46408-2560
Phone number: 872-301-0893
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