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Organization
DONNA M LEWIS LCSW PLLC
Active
Organization
DONNA M LEWIS LCSW PLLC
Active
Other names
Donna M Lewis LCSW PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M LEWIS LCSW (SOLE MEMBER)
(228) 218-9825
Entity
Organization
Contact information
Practice address
1713 OLD SPANISH TRL, GAUTIER, MS 39553-6027
(228) 218-9825
(228) 282-8578
Mailing address
1713 OLD SPANISH TRL, GAUTIER, MS 39553-6027
(228) 218-9825
(228) 282-8578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04620559
—
MS
01
—
4835868
CIGNA
—
Enumeration date
06/14/2021
Last updated
06/14/2021
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