EBONY MAVINS
Counselor - Professional
Active
Individual
NPI: 1144846882
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 75379 (TX) |
Frequently Asked Questions
NPI 1144846882 is the National Provider Identifier for EBONY MAVINS, a Counselor - Professional provider located in Decatur, GA. This NPI was enumerated on June 18, 2020.
EBONY MAVINS practices at 3017 TARIAN WAY, Decatur, GA 30034.
Quick Facts
- NPI
- 1144846882
- Type
- Individual
- Enumerated
- Jun 18, 2020
- Last Updated
- Feb 4, 2024
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