Individual
MS. ANGELIQUE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1568
(414) 225-1575
Mailing address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1568
(414) 225-1575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2880-57
WI
Other
Enumeration date
04/28/2009
Last updated
01/05/2012
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