Individual
ANTONIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
397 EAGLEVIEW BLVD STE 120, EXTON, PA 19341-1150
(610) 422-3064
(484) 870-9846
Mailing address
1500 CHESTNUT ST, PHILADELPHIA PA 19102, SUITE 2, #1169, PHILADELPHIA, PA 19102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023617
PA
Other
Enumeration date
06/21/2023
Last updated
02/07/2024
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