Individual
JENNIFER ELIZABETH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
410 STATE ST, ROOM 9, NORTH HAVEN, CT 06473-3147
(203) 525-7833
Mailing address
410 STATE ST, ROOM 9, NORTH HAVEN, CT 06473-3147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
008280
CT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548503139 NPI
—
CT
Enumeration date
04/01/2013
Last updated
03/04/2016
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