Ebora, Anna
Ebora, Anna is an individual health care provider with primary practice located at 189 Storrs Rd , Mansfield Center CT 06250-1683. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ebora, Anna can be contacted via phone (860) 465-5922.Contact Information
Primary practice address
189 Storrs Rd
Mansfield Center CT 06250-1683
Phone: (860) 465-5922
Fax: (860) 456-1164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11025 | Connecticut |
Profile Details
| NPI number | 1124575006 |
|---|---|
| LBN Legal business name | Ebora, Anna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2016 |
| Last updated | May 16th, 2020 - about 6 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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