Individual
KIARA MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 JACKSON ST, SUFFOLK, VA 23434-5314
(757) 714-9167
Mailing address
415 JACKSON ST, SUFFOLK, VA 23434-5314
(757) 714-9167
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904020441
VA
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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