Individual
MICHELE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 W MAIN ST, LAKE BUTLER, FL 32054
(352) 538-3577
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(904) 318-1476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
10/08/2018
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