Individual
ANDREA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 US HIGHWAY 64 W, PLYMOUTH, NC 27962-8859
(252) 484-5068
Mailing address
2405 US HIGHWAY 64 W, PLYMOUTH, NC 27962-8859
(252) 484-5068
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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