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1326010703
LAWRENCE DONALD EWERT
COLUMBUS, IN
NPI
1326010703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: IN 20010172A)
Enumeration Date
2006-02-01
Last Update Date
2007-07-08
Business Address
LAWRENCE DONALD EWERT HSPP
806 JACKSON ST
COLUMBUS, IN 47201-6264
Phone number: 812-379-4033
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Mailing Address
LAWRENCE DONALD EWERT HSPP
720 N MARR RD
COLUMBUS, IN 47201-6660
Phone number: 812-314-3500
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