Individual
CLOVER A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6611
(617) 730-0876
Mailing address
36 MSGR PATRICK J LYDON WAY, DORCHESTER CENTER, MA 02124-2514
(617) 650-1142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
213715
MA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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