Individual
BROOKE MAUREEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2606 GENESEE ST, UTICA, NY 13502-6003
(315) 525-4891
Mailing address
139 W BACON ST, WATERVILLE, NY 13480-1133
(315) 525-4891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102650-1
NY
Other
Enumeration date
11/22/2017
Last updated
04/23/2018
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