Most Relevant Information
Provider Data
| NPI Number: | 1003073305 |
| Provider Name: | IVA N LEWIS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 2063-M |
Most Important Dates
| Enumeration Date: | 05/22/2008 |
| Last Updated: | 05/22/2008 |
Provider Practice Location
2707 BROWNS LN
JONESBORO
AR
724017213
Practice Location Phone/Fax
| Phone: | 8709724939 |
| Fax: | 8709724911 |
Provider Mailing Location
2707 BROWNS LN
JONESBORO
AR
724017213
Provider Mailing Phone/Fax
| Phone: | 8709724939 |
| Fax: | 8709724911 |