Individual
ANGIE H LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
(816) 347-8777
(816) 347-8541
Mailing address
1941 NE PETERS DR, LEES SUMMIT, MO 64086-5388
(816) 332-7913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1854
MO
1041C0700X
Clinical Social Worker
Primary
2011027837
MO
Other
Enumeration date
01/29/2009
Last updated
10/10/2011
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