Individual
MRS. MARY ANNA EWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1535 W HARVARD AVE, SUITE 102, GILBERT, AZ 85233-3054
(480) 635-3950
(480) 452-0408
Mailing address
1535 W HARVARD AVE, SUITE 102, GILBERT, AZ 85233-3054
(480) 635-3950
(480) 452-0408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC#2441
AZ
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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