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Individual

MR. CHANCELLOR NOAH LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., CCC-SLP

Contact information

Practice address
400 FARRIS PARKS BLVD, RICHMOND, KY 40475-7650
(859) 353-3666
(859) 448-7077
Mailing address
272 JANE BRIGGS AVE, LEXINGTON, KY 40509-4503
(859) 229-0105

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
277588
KY

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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