Individual
MS. CAROLYN MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
N92W17420 APPLETON AVE STE 103, MENOMONEE FALLS, WI 53051-1363
(414) 367-8025
Mailing address
N92W17420 APPLETON AVE STE 103, MENOMONEE FALLS, WI 53051-1363
(414) 367-8025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17071
WI
Other
Enumeration date
10/14/2020
Last updated
04/19/2024
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