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1972168805
EBONI BASNIGHT
ATLANTA, GA
NPI
1972168805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006698)
Additional Taxonomies
251S00000X
Enumeration Date
2019-05-06
Last Update Date
2021-03-16
Business Address
EBONI BASNIGHT LCSW
205 WHARTON CIRCLE
ATLANTA, GA 30336-3033
Phone number: 470-504-1981
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Mailing Address
EBONI BASNIGHT LCSW
4709 TRADITION PKWY
ATLANTA, GA 30349-1975
Phone number: 404-401-8228
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