Individual
MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(765) 558-2727
Mailing address
510 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IN
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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