Individual
MARVA VIRTIENA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011408A.
IN
106H00000X
Marriage & Family Therapist
85000500A
IN
Other
Enumeration date
04/03/2023
Last updated
03/29/2025
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