Individual
KISHA MARIE MAYO-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
217 D ST, CHESAPEAKE, VA 23324-2523
(757) 289-0616
Mailing address
217 D ST, CHESAPEAKE, VA 23324-2523
(757) 289-0616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009831
VA
Other
Enumeration date
09/17/2017
Last updated
07/21/2022
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