MARYETTA LEWIS

SANBORN, NY
NPI1245529890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-04-05
Last Update Date2011-04-05
Business Address
-- MARYETTA LEWIS
6301 INDUCON DR E
SANBORN, NY 14132-9014
Phone number: 716-731-2030
Mailing Address
-- MARYETTA LEWIS
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: