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1255071213
KYE THOMAS EWING
CHAMPAIGN, IL
NPI
1255071213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.024369)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
KYE THOMAS EWING LCSW
206 N RANDOLPH ST STE 432
CHAMPAIGN, IL 61820-3978
Phone number: 217-637-0502
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Mailing Address
KYE THOMAS EWING LCSW
904 S WABASH AVE
URBANA, IL 61801-5214
Phone number: 217-637-0502
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