Individual
MRS. CONNIE HENDERSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A
Contact information
Practice address
9033 LAKE ROYALE, LOUISBURG, NC 27549-7208
(252) 477-0008
(252) 303-0321
Mailing address
9033 LAKE ROYALE, LOUISBURG, NC 27549-7208
(252) 477-0008
(252) 303-0321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009490
NC
251S00000X
Community/Behavioral Health Agency
P009490
NC
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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