Individual
CLARA E EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 TODDS LN, HAMPTON, VA 23666-3146
(757) 826-2514
Mailing address
2211 TODDS LN, HAMPTON, VA 23666-3146
(727) 826-2514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701001578
VA
Other
Enumeration date
04/11/2008
Last updated
04/17/2008
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