Individual
MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1762 BLUE HORIZON DR, MORGANTOWN, WV 26501-2280
(304) 685-4773
Mailing address
104 POPLAR DR, MORGANTOWN, WV 26505-2518
(304) 685-4773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00941564
WV
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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