Individual
ELIZABETH ANNE EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
113 FLAGG PL, LAFAYETTE, LA 70508-7025
(337) 573-5884
Mailing address
113 FLAGG PL, LAFAYETTE, LA 70508-7025
(337) 573-5884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9797
LA
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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