Individual
MELISSA ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
980 RICE ST, SAINT PAUL, MN 55117-4949
(651) 326-9020
Mailing address
711 WOODDUCK DR UNIT E, WOODBURY, MN 55125-1822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21803
MN
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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