Individual
MRS. CHRISTAL LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
618 SIMPSON STREET, CISNE, IL 62823-0324
(618) 839-2474
Mailing address
PO BOX 324, 618 SIMPSON STREET, CISNE, IL 62823-0324
(618) 839-2474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011700
IL
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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