Charles Lewis

NPI #1316304173 in Radcliff, Kentucky

Provider Information

NPI Number: 1316304173
Entity Type: Individual
Name: Charles Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 25, 2016
Last Updated: Dec 30, 2020

Practice Location

Address: 111 N WOODLAND DR
Address 2: STE B
City: Radcliff
State: Kentucky
ZIP Code: 40160-2678
Phone: (270) 807-0533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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