Gayle Lewis, LSW

NPI #1083490320 in Champaign, Illinois

Provider Information

NPI Number: 1083490320
Entity Type: Individual
Name: Gayle Lewis, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Sep 4, 2023
Last Updated: Sep 4, 2023

Practice Location

Address: 313 N MATTIS AVE STE 116
City: Champaign
State: Illinois
ZIP Code: 61821-7900
Phone: (224) 232-8057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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