Individual
SHARALEE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 CARNATION ST, DYER, IN 46311-1537
(321) 460-2242
Mailing address
23 CARNATION ST, DYER, IN 46311-1537
(321) 460-2242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180009119
IL
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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