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Individual

ANGELA E EAVES-LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
314 CLARA AVE, UKIAH, CA 95482-4006
(707) 490-6061
Mailing address
314 CLARA AVE, UKIAH, CA 95482-4006
(707) 490-6061

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW104762
CA
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
LCSW104762
CA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
06/23/2011
Last updated
11/03/2021
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