Individual
JESSICA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1525 KINGS HWY STE 206, FAIRFIELD, CT 06824-5321
(203) 220-6595
Mailing address
762 POST RD, DARIEN, CT 06820-4719
(203) 883-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00854
CT
Other
Enumeration date
02/05/2016
Last updated
08/23/2019
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