Individual
MRS. DENISE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 S PINE ST, BROOKFIELD, MO 64628-1916
(660) 258-2906
Mailing address
204 S PINE ST, BROOKFIELD, MO 64628-1916
(660) 258-2906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109821
MO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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