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Individual

MS. JACLYN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
(571) 365-6622
Mailing address
PO BOX 1324, SPRINGFIELD, OR 97477-0157
(458) 895-4602

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
11/21/2019
Last updated
02/26/2024
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