Individual
JAMIE LEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CB61402658
Contact information
Practice address
1001 S 6TH AVE, KELSO, WA 98626-2421
(260) 525-8346
Mailing address
1001 S 6TH AVE, KELSO, WA 98626-2421
(260) 525-8346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61402658
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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