Individual
ELAINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
208 KIDD DR, BEREA, KY 40403-9593
(859) 428-7862
(859) 999-7869
Mailing address
PO BOX 802, BEREA, KY 40403-0802
(859) 428-7862
(859) 999-7869
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
04/08/2024
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