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1003370578
JACKLYN EWALD
DAYTON, OH
NPI
1003370578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
(Licence: OH C.1902396)
Enumeration Date
2019-01-29
Last Update Date
2020-07-01
Business Address
JACKLYN EWALD LPC
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Phone number: 937-734-8333
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Mailing Address
JACKLYN EWALD LPC
601 SOUTH EDWIN C MOSES BLVD
DAYTON, OH 45417
Phone number: 937-734-8333
Copy
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