Lolly Lewis

NPI #1386037513 in Western Springs, Illinois

Provider Information

NPI Number: 1386037513
Entity Type: Individual
Name: Lolly Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 12, 2015
Last Updated: Mar 12, 2015

Practice Location

Address: 1023 BURLINGTON AVE
City: Western Springs
State: Illinois
ZIP Code: 60558-1516
Phone: (708) 990-2190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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