Individual
MARY ANN LEWIS-WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 W SMITH ST, YORKTOWN, IN 47396-1332
(765) 760-8819
Mailing address
2311 S BROADWAY ST, YORKTOWN, IN 47396-1200
(765) 760-8819
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1058292
IN
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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