Individual
LISHA EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9919 DENNISON AVE, OVERLAND, MO 63114-1401
(314) 283-1280
Mailing address
9919 DENNISON AVE, OVERLAND, MO 63114-1401
(314) 283-1280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2021018673
MO
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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