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1700387404
COLLEEN DIANE EWING
ROANOKE, VA
NPI
1700387404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: VA 0813000761)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
Ms. COLLEEN DIANE EWING
40 DOUGLAS AVE NW
ROANOKE, VA 24012-4611
Phone number: 540-852-2502
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Mailing Address
Ms. COLLEEN DIANE EWING
40 DOUGLAS AVE NW
ROANOKE, VA 24012-4611
Phone number:
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