Individual provider · NPI-1

Grace M. Abraham Lewis

Counselor, Mental Health · Glen Burnie, MD

NPI number1295187540
StatusActive
Last updated in NPPESJan 16, 2019

Details

NPI
1295187540
Entity type
Individual (NPI-1)
Name
Grace M. Abraham Lewis
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 11, 2016
Last updated
Jan 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLC8137MDYes

Practice location

8043 Winding Wood Rd Apt 14
Glen Burnie, MD 21061-6539

Phone 443-449-9991

Mailing address

8043 Winding Wood Rd Apt 14
Glen Burnie, MD 21061-6539

Phone 443-449-9991

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