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1376636647
IDA MARIE EWEN
VENICE, FL
NPI
1376636647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL 00005326)
Enumeration Date
2006-10-01
Last Update Date
2009-10-10
Business Address
Dr. IDA MARIE EWEN PHD
901 VENETIA BAY BLVD SUITE 358
VENICE, FL 34285-8041
Phone number: 941-484-5431
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Mailing Address
Dr. IDA MARIE EWEN PHD
6410 SPYGLASS LN
BRADENTON, FL 34202-1707
Phone number: 941-484-5431
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