Individual
LEONA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Mailing address
PO BOX 10015, TOLEDO, OH 43699-0015
(419) 693-0631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0002677
OH
Other
Enumeration date
10/21/2005
Last updated
10/16/2007
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