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MRS. STEPHANIE ANN LEWIS

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760642235

Individual Registrant:
MRS. STEPHANIE ANN LEWIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
144 AVENUE E E  PORT SAINT JOE, FL 32456-1522 US
Tel: 850-227-7901  Fax: 850-227-7901

Contact information for business:
144 AVENUE E E  PORT SAINT JOE, FL 32456-1522 US
Tel: 850-227-7901  Fax: 850-227-7901

Registration Information:
NPI: 1760642235
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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