Individual
MARLENE R EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
414 N MAIN ST STE 220, NEWTON, KS 67114-2226
(316) 805-7240
Mailing address
414 N MAIN ST STE 220, NEWTON, KS 67114-2226
(316) 805-7240
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
355
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200436500A
—
KS
Enumeration date
11/18/2005
Last updated
06/09/2014
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