Individual
MR. PATRICK J. EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1522 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-0510
(319) 524-0609
Mailing address
1522 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-0510
(319) 524-0609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
553
IA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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