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Individual
MRS. KAITLYN LEWIS
Active
Individual
MRS. KAITLYN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
091541-1
NY
1041C0700X
Clinical Social Worker
Primary
087192
NY
Other
Enumeration date
04/09/2015
Last updated
09/12/2018
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