JOHNDA PENNY SUE LEWIS

IRONTON, OH
NPI1649781626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LCDCII.161537)
Enumeration Date2017-10-18
Last Update Date2023-08-15
Business Address
JOHNDA PENNY SUE LEWIS LCDCII, QMHS
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
Mailing Address
JOHNDA PENNY SUE LEWIS LCDCII, QMHS
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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