Individual
ORELIA CECELIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 MANTON AVE, PROVIDENCE, RI 02909-5648
(401) 612-5011
Mailing address
720 MANTON AVE, PROVIDENCE, RI 02909-5648
(401) 612-5011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/18/2014
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