Individual
MS. BA'RAN STACEY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 TRUMAN HWY, BOSTON, MA 02136-3552
(888) 763-7272
Mailing address
6 ADAMS ST, HYDE PARK, MA 02136-2102
(617) 971-6794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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