Individual
MRS. KELLEY GRACE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 434-2016
Mailing address
606 SHARON DR, JOHNSON CITY, TN 37604-1951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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