Provider Demographics
NPI:1194466292
Name:RELIFORD, EBONE (LCSW, LCADC)
Entity Type:Individual
Prefix:MS
First Name:EBONE
Middle Name:
Last Name:RELIFORD
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 HULME ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1804
Mailing Address - Country:US
Mailing Address - Phone:973-280-5355
Mailing Address - Fax:
Practice Address - Street 1:408 HULME ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1804
Practice Address - Country:US
Practice Address - Phone:973-280-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical