Ebon Scott Alley, LICSW

NPI #1265427868 in Fe Warren Afb, Wyoming

Provider Information

NPI Number: 1265427868
Entity Type: Individual
Name: Ebon Scott Alley, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Sep 20, 2005
Last Updated: Mar 9, 2012

Practice Location

Address: 6900 ALDEN DR
Address 2: 90 MDG
City: Fe Warren Afb
State: Wyoming
ZIP Code: 82005-3906
Phone: (307) 773-2998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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Organizations

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