Individual
CASEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST STE LL, TULSA, OK 74135-5018
(918) 236-4000
Mailing address
105 N HUSBAND ST, STILLWATER, OK 74075-7708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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