Individual
ASHLEY MARIE EWOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 PIERCE ST STE 100, SIOUX CITY, IA 51104-3871
(712) 255-8323
Mailing address
6016 PINE VIEW DR, SIOUX CITY, IA 51106-5443
(712) 251-7221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123115
IA
Other
Enumeration date
10/19/2023
Last updated
03/12/2024
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