Individual
MS. JAN HENDRICK LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1002 BRADFORD WAY, KINGSTON, TN 37763-3100
(865) 376-1585
(865) 376-1587
Mailing address
1002 BRADFORD WAY, KINGSTON, TN 37763-3100
(865) 376-1585
(865) 376-1587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003451
TN
Other
Enumeration date
03/07/2009
Last updated
03/07/2009
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