Individual
KEITH BRYSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1970 ROANOKE BLVD, 116A5, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, 116A5, SALEM, VA 24153-6404
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007690
VA
Other
Enumeration date
01/13/2009
Last updated
07/06/2011
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