Individual
ANGELA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E GRAND BLVD, DETROIT, MI 48207-2526
(313) 702-1301
Mailing address
3150 LAKEWOOD ST, DETROIT, MI 48215-3805
(313) 293-9312
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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