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Organization

SUSAN LEWIS, L.C.S.W.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN LEWIS L.C.S.W. (PSYCHIATRIC SOCIAL WORKER)
(530) 306-0625
Entity
Organization

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(530) 306-0625
Mailing address
PO BOX 1976, FOLSOM, CA 95763-1976
(530) 306-0625

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
14404
CA

Other

Enumeration date
01/23/2007
Last updated
07/14/2012
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