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Individual

MISS CRAIJETTA E LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2132 BROMBY ST, RICHMOND, VA 23231-1921
(804) 221-0003
Mailing address
2132 BROMBY ST, RICHMOND, VA 23231-1921
(804) 221-0003

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
0904009511
VA
1041C0700X
Clinical Social Worker
0904009511
VA

Other

Enumeration date
07/05/2016
Last updated
07/05/2016
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