Individual
DEANGELA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
2419 W LAUREL LN, PHOENIX, AZ 85029-3437
(602) 859-3002
Mailing address
2419 W LAUREL LN, PHOENIX, AZ 85029-3437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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