Individual
SAMARIA M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
(804) 787-2551
Mailing address
4121 CAMERON RD, HOPEWELL, VA 23860-1670
(434) 378-1306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007745
VA
Other
Enumeration date
06/13/2019
Last updated
08/10/2022
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