Individual
MRS. MARY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6262 PARKBROOK DR, MOBILE, AL 36608-3512
(251) 786-1061
Mailing address
6262 PARKBROOK DR, MOBILE, AL 36608-3512
(251) 786-1061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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