Individual
MRS. KELLY ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
1800 W BIG BEAVER RD, SUITE 150, TROY, MI 48084-3545
(248) 918-5600
(248) 918-5600
Mailing address
1800 WEST BIG BEAVER ROAD, SUITE 150, TROY, MI 48084
(248) 918-5600
(248) 530-3096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802087604
MI
171M00000X
Case Manager/Care Coordinator
Primary
6802087604
MI
Other
Enumeration date
03/05/2013
Last updated
06/11/2015
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