Tracy Marie Lewis LCSW

NPI 1093947657 - Social Worker - 1041C0700X

NPI Details
NPI 1093947657
Gender Female
Enumeration Date 08/17/2009
Last Updated 07/01/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
925 SULLIVAN AVE
UNIT 2
SOUTH WINDSOR CT, 06074-2025, US
Phone (860) 432-7771
Fax (860) 432-7774
Business Location
925 SULLIVAN AVE
UNIT 2
SOUTH WINDSOR CT, 06074-2025, US
Phone (860) 432-7771
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Connecticut
License Number 0006994
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According to our database, Miss Tracy Marie Lewis LCSW NPI is 1093947657, taxonomy code is 1041C0700X and license number is 0006994, license state is located at Connecticut. Tracy Marie Lewis LCSW physically located at 925 Sullivan Ave, South Windsor CT, 06074-2025. NPI Number Tracy Marie Lewis LCSW has the Individual type.

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1093947657 NPI number is provided on an as is basis without warranty of any kind. 1093947657 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Marie Lewis LCSW are for informational purposes only.