Thecle Ebanks
NPI #1225755093 in Fort Eustis, Virginia
Provider Information
- NPI Number
- 1225755093
- Entity Type
- Individual
- Name
- Thecle Ebanks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Aug 17, 2024
Practice Location
- Address
- 576 JEFFERSON AVE
- City
- Fort Eustis
- State
- Virginia
- ZIP Code
- 23604-1373
- Phone
- (757) 314-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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