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Individual

ABIGAIL S LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8 HOSPITAL DR, MORRILTON, AR 72110-4510
(501) 254-1561
Mailing address
8 HOSPITAL DR, MORRILTON, AR 72110-4510
(501) 254-1561

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
P2406002
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
321528719
AR
Enumeration date
07/11/2022
Last updated
06/24/2024
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