Individual
MARILYN RUTH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
Mailing address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002106
MO
Other
Enumeration date
12/04/2008
Last updated
05/08/2014
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