Individual
MISS FREDERICK WILSON LEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
20 W BIRDSALL ST, WILMINGTON, OH 45177-1678
(937) 383-9001
Mailing address
6611 OAKLAND RD, LOVELAND, OH 45140
(513) 675-6523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0001494
OH
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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