Individual
ANNALISA MCEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 E 400 S STE 2, SPRINGVILLE, UT 84663-2082
(801) 491-3065
Mailing address
330 E 400 S STE 2, SPRINGVILLE, UT 84663-2082
(801) 491-3065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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