Individual
SHAKARI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5205 N IRONWOOD RD STE 117, GLENDALE, WI 53217-4907
(414) 502-9355
Mailing address
5225 N IRONWOOD RD STE 117, GLENDALE, WI 53217-4909
(414) 502-9355
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6866-125
WI
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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