Individual
KAYSEA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3073 SALT LAKE RD, INDIANAPOLIS, IN 46214-1432
(317) 296-4187
Mailing address
3103 THOMPKINS SQUARE CT APT 1203, INDIANAPOLIS, IN 46205-3221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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