Individual
MRS. GILDA HAZEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,
Contact information
Practice address
1509 LAKEVIEW DR, CONNERSVILLE, IN 47331-8348
(765) 969-8906
Mailing address
1509 LAKEVIEW DR, CONNERSVILLE, IN 47331-8348
(765) 969-8906
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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