Individual
ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
19530 KEDZIE AVE, FLOSSMOOR, IL 60422-1778
(708) 799-2200
Mailing address
19530 KEDZIE AVE, FLOSSMOOR, IL 60422-1778
(708) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180004834
IL
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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