CHARLES LEWIS

RADCLIFF, KY
NPI1316304173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: KY  253567)
Enumeration Date2016-01-25
Last Update Date2020-12-30
Business Address
CHARLES LEWIS
111 N WOODLAND DR STE B
RADCLIFF, KY 40160-2678
Phone number: 270-807-0533
Mailing Address
CHARLES LEWIS
111 N WOODLAND DR STE B
RADCLIFF, KY 40160-2678
Phone number: 270-348-4840