Individual
SHANELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 N ERIE ST, TOLEDO, OH 43604-2105
(567) 801-0006
Mailing address
1520 N ERIE ST, TOLEDO, OH 43604-2105
(567) 801-0006
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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