Individual
MS. ANGELA JEANETTE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
2921 LINDSAY LN, SPENCER, OK 73084-3547
(405) 549-8288
Mailing address
2921 LINDSAY LN, SPENCER, OK 73084-3547
(405) 549-8288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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