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Individual

KRISTEN C LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20883 NE FULLER WARREN DR, BLOUNTSTOWN, FL 32424-1114
(850) 674-8234
Mailing address
15 GERANIUM TRCE, CRAWFORDVILLE, FL 32327-2196
(954) 478-1382

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI7212
FL

Other

Enumeration date
05/17/2025
Last updated
05/17/2025
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