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Individual
MS. ANDREA NICHELLE LEWIS
Active
Individual
MS. ANDREA NICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
RBT-21-196023
SC
Other
Enumeration date
12/10/2021
Last updated
06/19/2023
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