Individual
AMANDA TRACY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 564-2928
Mailing address
11 HAMPSHIRE RD, PEABODY, MA 01960-2137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
10/24/2025
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