| Latrice R. Lewis, Llc | |
|
6703 Germantown Ave Ste 240 Philadelphia PA 19119-2109 | |
| (215) 687-7050 | |
| Not Available |
| Full Name | Latrice R. Lewis, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6703 Germantown Ave Ste 240, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Latrice R. Lewis (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2156877050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latrice R. Lewis, Llc Po Box 4044 Philadelphia PA 19118-8044 Ph: (215) 687-7050 | Latrice R. Lewis, Llc 6703 Germantown Ave Ste 240 Philadelphia PA 19119-2109 Ph: (215) 687-7050 |
| NPI Number | 1114489432 |
|---|---|
| Provider Enumeration Date | 04/04/2019 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114489432 | NPI | - | NPPES |
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