Individual
CELESE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 NUTWOOD ST, BLUEFIELD, WV 24701-4894
(681) 220-1314
Mailing address
328 NUTWOOD ST, BLUEFIELD, WV 24701-4894
(681) 220-1314
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
12/19/2024
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