Individual
MR. KYLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
450 HUMBOLDT ST, ROCHESTER, NY 14610-1114
(585) 482-4836
Mailing address
111 BOARDMAN ST APT 2, ROCHESTER, NY 14607-3807
(607) 425-7630
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
101741
NY
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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