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Individual

CHANTELLE C LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2264 WALDEN RD, EAST CLEVELAND, OH 44112-4035
(216) 288-9146
Mailing address
2264 WALDEN RD, EAST CLEVELAND, OH 44112-4035
(216) 288-9146

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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