EBONYE R DILLARD

ANTIOCH, TN
NPI1720723638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: TN  1271)
Enumeration Date2022-05-04
Last Update Date2022-05-04
Business Address
EBONYE R DILLARD LADAC II
4065 CANE RIDGE PKWY APT 227
ANTIOCH, TN 37013-4742
Phone number: 615-609-1652
Mailing Address
EBONYE R DILLARD LADAC II
PO BOX 22065
NASHVILLE, TN 37202-2065
Phone number: 615-434-8195
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