Individual
CRYSTAL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
901 SENOIA RD, TYRONE, GA 30290-2065
(334) 328-4898
Mailing address
4010 RIVERCHESS DR SW, ATLANTA, GA 30331-6016
(334) 328-4898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005863
GA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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