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Individual

LAURA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
758 CHAMBERLAIN PL, WEBSTER GROVES, MO 63119-2716
(314) 690-3164
Mailing address
4645 ASPEN HOLLOW DR, SAINT LOUIS, MO 63128-3427
(314) 348-4301

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2015033641
MO

Other

Enumeration date
01/03/2017
Last updated
01/03/2017
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