Individual
MS. ANGEL DEREKA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
10 PETERBORO ST FL 4, DETROIT, MI 48201-2722
(313) 831-3160
Mailing address
14252 APPOLINE ST, DETROIT, MI 48227-3952
(313) 784-1984
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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