Individual
MARGARET MARY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 12TH STREET, SUITE 203, SAINT CLOUD, MN 56303
(218) 631-5993
(218) 631-7043
Mailing address
1900 SILVER LAKE RD NW, 110, NEW BRIGHTON, MN 55112-1786
(651) 379-1718
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1667
MN
Other
Enumeration date
06/01/2015
Last updated
06/08/2015
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