Individual
PAULETTE PATRICIA MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891903787
OUT PATIENT
NY
Enumeration date
10/04/2022
Last updated
10/04/2022
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