Individual
CRISTINA MCEWEN
Active
Individual
CRISTINA MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007659A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201128140B
—
IN
Enumeration date
07/25/2017
Last updated
03/24/2022
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