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Individual

MRS. JENNIFER NICOLE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
1505 CARTER AVE STE 104, ASHLAND, KY 41101-7672
(606) 547-1716
Mailing address
1505 CARTER AVE # 104, ASHLAND, KY 41101-7672
(606) 547-1716

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
259946
KY

Other

Enumeration date
08/04/2015
Last updated
01/09/2025
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