Individual
MRS. KRISTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4520 N CENTRAL AVE STE 620, PHOENIX, AZ 85012-1848
(602) 279-5262
Mailing address
4520 N CENTRAL AVE STE 620, PHOENIX, AZ 85012-1848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-13091
AZ
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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