Individual
AMELIA MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 ARROWHEAD AVE, SOUTH LAKE TAHOE, CA 96150-5238
(239) 384-4610
Mailing address
1970 ARROWHEAD AVE, SOUTH LAKE TAHOE, CA 96150-5238
(239) 384-4610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
127364
CA
Other
Enumeration date
08/10/2020
Last updated
12/05/2024
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