Individual
AVITAL L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
162 HAMPSHIRE ST APT 1L, CAMBRIDGE, MA 02139-1367
(857) 234-0852
Mailing address
162 HAMPSHIRE ST APT 1L, CAMBRIDGE, MA 02139-1367
(857) 234-0852
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW227517
MA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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