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Individual

SARA M EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LPCC

Contact information

Practice address
624 13TH ST S, VIRGINIA, MN 55792-3149
(218) 749-2881
(218) 749-3086
Mailing address
PO BOX 1188, VIRGINIA, MN 55792-1188
(218) 749-2881
(218) 749-3086

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00733
MN

Other

Enumeration date
03/17/2014
Last updated
12/05/2014
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