Individual
JESSICA ELIZABETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
200 RETREAT AVE, HARTFORD, CT 06106-3310
(860) 545-7714
Mailing address
49 HEBRON ST, HARTFORD, CT 06112-1714
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9756
CT
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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