Individual
GENEVIEVE LADAWN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 E. IMPERIAL HWY, SUITE 220- 240, LYNWOOD, CA 90262-2663
(323) 769-7174
Mailing address
3680 E. IMPERIAL HWY, SUITE 220- 240, LYNWOOD, CA 90262-2663
(323) 769-7174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW109229
CA
1041C0700X
Clinical Social Worker
109229
CA
Other
Enumeration date
11/25/2024
Last updated
01/02/2025
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