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Search › Florida › 171M00000X

Ebonie Wallace

NPI 1871044255 · on the registry since 2016

Practice

Address
140 S Beach St Ste 310
Daytona Beach, FL 32114
Phone
(386) 898-6040
Fax
(386) 256-2320
Organisation at this address
Charmante Llc
Charmante Llc
Charmante Laboratory Llc
Embridge Counseling Services
Beach Street Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2021-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida