AMANDA R LEWIS

O FALLON, IL
NPI1518360171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.018245)
Enumeration Date2014-09-26
Last Update Date2019-02-20
Business Address
AMANDA R LEWIS LCSW
1405 N GREEN MOUNT RD STE 230
O FALLON, IL 62269-3494
Phone number: 618-334-5571
Mailing Address
AMANDA R LEWIS LCSW
1405 N GREEN MOUNT RD STE 230
O FALLON, IL 62269-3494
Phone number: 618-334-5571
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