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Individual

DR. CYNTHIA ANN EWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1 MILE N 522 QUESTA, QUESTA, NM 87556-0440
(505) 586-1604
Mailing address
PO BOX 649, QUESTA, NM 87556-0649
(505) 586-1092

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
283444
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39203727
NM
Enumeration date
01/24/2007
Last updated
07/09/2007
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