Individual
MR. JAMES BAKER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9500 S 500 W STE 107, SANDY, UT 84070-6654
(801) 673-1447
(801) 553-1326
Mailing address
10987 CHAPADA WAY, SANDY, UT 84094-5923
(801) 673-1447
(801) 553-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5207996-0160
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
CLINICAL SOCIAL WORKER
UT
01
—
5207996-0160
STATE LICENSE
UT
Enumeration date
04/14/2007
Last updated
07/08/2007
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