Individual
MS. JENNIFER LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
701 W CANDLEWICK CIR, WEST TERRE HAUTE, IN 47885-9628
(812) 205-6418
Mailing address
701 W CANDLEWICK CIR, WEST TERRE HAUTE, IN 47885-9628
(812) 205-6418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
34011350A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34011350A
LICENSE
IN
Enumeration date
11/18/2020
Last updated
11/25/2024
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