Individual
MS. LISLE TITILOLA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.A.
Contact information
Practice address
5130 RIVERSIDE DRIVE, CHINO VALLEY UNIFIED SCHOOL DISTRICT, CHINO, CA 91710
(909) 628-1201
Mailing address
475 CARLTON AVE APT 8F, BROOKLYN, NY 11238-2149
(347) 497-2547
(775) 582-3964
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
03/17/2008
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