Individual
MRS. MARSHA DAVIDA LEWIS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N81W17517 SHADY LN, MENOMONEE FALLS, WI 53051-3672
(262) 345-5685
Mailing address
N81W17517 SHADY LN, MENOMONEE FALLS, WI 53051-3672
(262) 345-5685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7145-123
WI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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