Individual
MRS. MARY CLEARY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CERT. PSYA.
Contact information
Practice address
20 CHURCH ST, BELLOWS FALLS, VT 05101-1515
(802) 236-3389
Mailing address
PO BOX 602, MANCHESTER CENTER, VT 05255-0602
(802) 236-3389
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
098.0072215
VT
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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