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Individual

MS. JANICE MASSEY LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BBA

Contact information

Practice address
214 S DILLARD ST, WINTER GARDEN, FL 34787-3523
(407) 877-0029
Mailing address
634 CLAYTON ST, ORLANDO, FL 32804-4404
(407) 748-6142

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
06/27/2018
Last updated
06/27/2018
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