Individual
KEISHA FRINCHELL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W MICHAEL DR, MIDWEST CITY, OK 73110-3320
(405) 474-4220
(405) 741-4220
Mailing address
326 W MICHAEL DR, MIDWEST CITY, OK 73110-3320
(405) 474-4220
(405) 741-4220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11195
OKLAHOMA DEPARTNENT OF MENTAL HEALTH
OK
Enumeration date
06/22/2011
Last updated
06/22/2011
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