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General NPI Number Information
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NPI Number | 1609497908
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Entity Type | Organization
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Legal Business Name | EWING COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 18121 W CATAWBA AVE
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City | CORNELIUS
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State | NC
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Zip | 28031-5641
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Country | US
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Telephone | 704-235-1776
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Fax | 855-921-1865
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Provider Business Mailing Address
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Address Line | PO BOX 274
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City | CORNELIUS
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State | NC
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Zip | 28031-0274
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Country | US
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Telephone | 704-235-1776
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Fax | 855-921-1865
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Authorized Official
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Title or Position | OWNER/MENTAL HEALTH THERAPIST
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Name | KARA EWING
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Credential | LCSW
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Telephone | 704-235-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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