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1104170364
ERIC WILLIAM EWELL
SAN BERNARDINO, CA
NPI
1104170364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS19702)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- ERIC WILLIAM EWELL LCSW
6724 COLEEN LN
SAN BERNARDINO, CA 92407-1916
Phone number: 909-754-7789
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Mailing Address
-- ERIC WILLIAM EWELL LCSW
PO BOX 90364
SAN BERNARDINO, CA 92427-1364
Phone number: 909-754-7789
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