Ebonee Troup | Roxbury, MA • PECOS Search

Ebonee Troup

Social Worker

Behavioral Health & Social Service Providers

520 Dudley St, Roxbury, MA 02119-2769

PECOS Enrollment

Based on the most recent information from CMS, provider Ebonee Troup does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:07 PM.

Profile Details

Provider ID
1003335464
Provider Type
Individual
Full Name
Troup, Ebonee
Title
Ms.
Credential
BS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/15/2017
Last Updated
9/15/2017

Contact Information

Practice Location

520 Dudley St, Roxbury, MA 02119-2769

Unlisted Fax

Mailing Location

520 Dudley St, Roxbury, MA 02119-2769

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License INTERN Massachusetts