Individual
RONDA A. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC
Contact information
Practice address
422 W MARKET STREET, WORCESTER COUNTY HEALTH DEPARTMENT MARKET SQUARE, SNOW HILL, MD 21863
(410) 632-4510
(410) 632-4933
Mailing address
1404 GLEN AVE, SALISBURY, MD 21804-5218
(410) 572-5529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC0634
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
01/17/2007
Last updated
07/08/2007
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