Individual
JUDY ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
94 BUCKINGHAM DR, BELLA VISTA, AR 72714-3823
(479) 903-1930
Mailing address
94 BUCKINGHAM DR, BELLA VISTA, AR 72714-3823
(479) 903-1930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1407-C
AR
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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