Individual
ANGELA D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
600 SARGENT DR, FREDERICKTOWN, MO 63645-7526
(573) 783-4400
(573) 783-4409
Mailing address
PO BOX 25, FREDERICKTOWN, MO 63645-0025
(573) 783-4400
(573) 783-4409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023021559
MO
Other
Enumeration date
06/12/2023
Last updated
06/14/2023
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