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Individual

AMBER T LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2216 W 12TH AVE, STILLWATER, OK 74074-5127
(405) 742-7191
(888) 420-3186
Mailing address
2216 W 12TH AVE, STILLWATER, OK 74074-5127
(405) 742-7191
(888) 420-3186

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1710
OK

Other

Enumeration date
05/01/2009
Last updated
05/01/2009
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