Individual
CHARLES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 N WOODLAND DR, STE B, RADCLIFF, KY 40160-2678
(270) 807-0533
(270) 801-0121
Mailing address
111 N WOODLAND DR, STE B, RADCLIFF, KY 40160-2678
(270) 348-4840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253567
KY
Other
Enumeration date
01/25/2016
Last updated
12/30/2020
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