Individual
ANDREA MILES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 PRINCESS ANNE RD, SUITE 102, VIRGINIA BEACH, VA 23462-6464
(757) 213-4490
(757) 213-4491
Mailing address
4646 PRINCESS ANNE RD, SUITE 102, VIRGINIA BEACH, VA 23462-6464
(757) 213-4490
(757) 213-4491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001384
VA
Other
Enumeration date
04/25/2010
Last updated
04/25/2010
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