Individual
KAITLYN LAUREN EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
737 CRESTWOOD DR APT 9, MANHATTAN, KS 66502-3284
(785) 375-2229
Mailing address
737 CRESTWOOD DR APT 9, MANHATTAN, KS 66502-3284
(785) 375-2229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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