Individual
MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCCE
Contact information
Practice address
194 CHALLENGER AVE, HAMPTON, VA 23665-2494
(757) 224-1807
Mailing address
194 CHALLENGER AVE, HAMPTON, VA 23665-2494
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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