Amanda Lewis, Msw, Lcsw, LLC

NPI #1598110124 in Shiloh, Illinois

Provider Information

NPI Number
1598110124
Entity Type
Organization
Organization Name
Amanda Lewis, Msw, Lcsw, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 2, 2016
Last Updated
May 2, 2016

Practice Location

Address
1161 FORTUNE BLVD
Address 2
SUITE 400
City
Shiloh
ZIP Code
62269-7385
Phone
(618) 334-5571

Authorized Official

Name
AMANDA ROSE LEWIS, LCSW
Title
MANAGING MEMBER
Phone
(618) 334-5571

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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