Individual
MS. TERRI L. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23 WATER ST, SUITE 205, BANGOR, ME 04401-6364
(207) 990-0091
Mailing address
PO BOX 1052, BANGOR, ME 04402-1052
(207) 990-0091
(207) 990-3388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5772
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048721
ANTHEM BCBS
—
05
—
303370099
—
ME
01
—
362976
MHN
—
Enumeration date
10/09/2006
Last updated
03/13/2013
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