Individual
AVA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1704 W KOENIG LN, AUSTIN, TX 78756-1207
(512) 957-9164
Mailing address
1704 W KOENIG LN, AUSTIN, TX 78756-1207
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67982
TX
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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