Individual
STEPHANIE DIANE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. ED.
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
707 GARY LN, HAMPTON, VA 23661-2009
(757) 593-0296
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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