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NPI Code Detail

MEDICARE: AMY S EWING LMSW

MEDICARE: AMY S EWING LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerLMSW 5927KS

General Provider Information

NPI Number : 1538119193
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY S EWING LMSW
Provider Business Mailing Address
First Line : 531 CAMPUS VIEW ST
Second Line : PO BOX 477
City : GARDEN CITY
State : KS
Zip : 67846-7904
Country : US
Telephone Number : 620-275-0644
Fax Number : 620-272-0239
Provider Business Practice Location Address
First Line : 531 CAMPUS VIEW ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-7904
Country : US
Telephone Number : 620-275-0644
Fax Number : 620-272-0239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 03/22/2012

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