Individual
LAURA EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3297
Mailing address
529 QUINNIPIAC AVE, NEW HAVEN, CT 06513-4004
(203) 887-4345
(203) 503-3297
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004820
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040399533
—
CT
Enumeration date
02/15/2007
Last updated
07/08/2007
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