Individual
CANDICE DAWN EWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N. 14TH ST, PERRY, OK 73077
(405) 308-5512
(580) 215-5767
Mailing address
502 N. 14TH ST, PERRY, OK 73077
(405) 308-5512
(580) 215-5767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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