Individual
MISTY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6310
KY
1041C0700X
Clinical Social Worker
0904013950
VA
1041C0700X
Clinical Social Worker
Primary
254352
KY
Other
Enumeration date
09/08/2017
Last updated
04/01/2024
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