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Individual

MRS. JENNIFER NISHAUN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.S.

Contact information

Practice address
1312 5TH ST SW, CANTON, OH 44707-4657
(330) 580-3517
Mailing address
741 SHELLEY PKWY, BEREA, OH 44017-1137
(440) 781-1009

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3151571
OH

Other

Enumeration date
02/08/2014
Last updated
02/08/2014
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