Individual
CHARITY M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CURRITUCK COMMERICAL DR STE A1, MOYOCK, NC 27958-9086
(252) 435-1665
(252) 435-2111
Mailing address
111 CURRITUCK COMMERICAL DR STE A1, MOYOCK, NC 27958-9086
(252) 435-1665
(252) 435-2111
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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