Crystal Ann Lewis

NPI #1407225642 in Gladwin, Michigan

Provider Information

NPI Number: 1407225642
Entity Type: Individual
Name: Crystal Ann Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 17, 2015
Last Updated: Mar 30, 2022

Practice Location

Address: 342 W. CEDAR ST
City: Gladwin
State: Michigan
ZIP Code: 49624
Phone: (989) 202-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Behavior Technician	106S00000X	Primary

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