Individual
MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7105 S. HIGHLAND DR., STE 303, SALT LAKE CITY, UT 84121
(801) 907-1391
Mailing address
7105 HIGHLAND DR, STE 303, SALT LAKE CITY, UT 84121-3753
(801) 907-1391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6198245-3501
UT
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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