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Individual

DR. CARON M LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
12304 SANTA MONICA BLVD, SUITE 211, LOS ANGELES, CA 90025-2551
(310) 207-4774
(310) 477-4349
Mailing address
12304 SANTA MONICA BLVD, SUITE 211, LOS ANGELES, CA 90025-2551
(310) 207-4774
(310) 477-4349

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16686
CA

Other

Enumeration date
10/12/2007
Last updated
10/12/2007
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