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Individual

ROBERT LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5901
(505) 846-3200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2024-1263
NM

Other

Enumeration date
07/05/2022
Last updated
12/08/2025
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