Individual
CARLYN ELLICIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19853 OUTER DR STE 110, DEARBORN, MI 48124-2044
(248) 508-3481
Mailing address
19853 OUTER DR STE 110, DEARBORN, MI 48124-2044
(248) 508-3481
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
01/12/2024
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