Individual
SANDRA LEA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 THISTLEDOWN LN, MORGANTOWN, WV 26508-2424
(304) 692-6783
Mailing address
109 THISTLEDOWN LN, MORGANTOWN, WV 26508-2424
(304) 692-6783
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
WV
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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