Wilson, Ebony

Wilson, Ebony is an sole proprietor health care provider with primary practice located at 3514 Blair Ave , Saint Louis MO 63107-3717. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Wilson, Ebony can be contacted via phone (314) 216-0088.

Contact Information

Primary practice address
3514 Blair Ave Saint Louis MO 63107-3717
Phone: (314) 216-0088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1013334622
LBN Legal business name Wilson, Ebony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2014
Last updated Mar 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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