Individual
MARKEIA SHAMYRA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 WALL ST, MERIDEN, CT 06450-4448
(475) 307-9530
Mailing address
166 WALL ST, MERIDEN, CT 06450-4448
(475) 307-9530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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