Individual
MS. DEBRA JOANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LSW
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(224) 716-4792
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(224) 716-4792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107687
IL
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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