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Individual

MRS. VERNITA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
126 FLORA DR, SAINT LOUIS, MO 63135-1025
(314) 479-6674
Mailing address
126 FLORA DR, SAINT LOUIS, MO 63135-1025

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/13/2015
Last updated
01/13/2015
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