Individual
SHAKEYA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 E HIGH ST, GLASSBORO, NJ 08028-2519
(856) 243-2045
Mailing address
11 E HIGH ST, GLASSBORO, NJ 08028-2519
(856) 243-2045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
06/15/2023
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