Individual
MS. ELYSSIA N LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
36065 SANTE FE AVE, FORT HOOD, TX 76544-7654
(254) 287-0183
Mailing address
71028 JIMENEZ ST # 1, FORT HOOD, TX 76544-1761
(336) 708-7170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015180
NC
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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