Individual
JODY ROBIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
201 S UNIVERSITY AVE, MT PLEASANT, MI 48858-2527
(989) 779-8999
(989) 779-2219
Mailing address
1841 LINDEN ST, EAST LANSING, MI 48823-3721
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014517
MI
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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