Ebency Chevelon

NPI #1760819049 in Gotha, Florida

Provider Information

NPI Number: 1760819049
Entity Type: Individual
Name: Ebency Chevelon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Oct 2, 2013
Last Updated: Oct 2, 2013

Practice Location

Address: 9314 LAKE FISCHER BLVD
City: Gotha
State: Florida
ZIP Code: 34734-5203
Phone: (407) 592-3832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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