Individual
JACQUELINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(301) 677-8460
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(301) 677-8460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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