Individual
STACEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 N MAIN ST, SHREWSBURY, PA 17361-1321
(717) 586-7473
Mailing address
27 N MAIN ST, SHREWSBURY, PA 17361-1321
(717) 586-7473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC011140
LPC LICENSE #
PA
Enumeration date
09/01/2016
Last updated
05/31/2019
About Stedi
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