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Individual
DONNA MARIA LEWIS
Active
Individual
DONNA MARIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C5045
MS
1041C0700X
Clinical Social Worker
Primary
C5045
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5045
MS STATE BOARD OF EXAMINERS FOR SOCIAL WORKERS AND MARRIAGE & FAMILY THERAPISTS
MS
Enumeration date
09/17/2008
Last updated
06/05/2021
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