Mrs. Latisha Shanta Lewis, MAT
Mrs. Latisha Shanta Lewis, MAT is a Developmental Therapist in Belleville, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1948 Richmond Springs LnBelleville, IL 62220-3283
Phone: (618) 402-4319
Fax: (618) 825-0210
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence L200-5377-9925 (IL) |
|---|
Record details
| NPI number | 1013297431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAT |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2011 |
| Last updated in NPPES | August 17, 2011 |
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