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Organization
TEW COUNSELING LLC
Active
Organization
TEW COUNSELING LLC
Active
Other names
Revive Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS LAMAR TEW LCSW (OWNER)
(601) 718-0328
Entity
Organization
Contact information
Practice address
4500 I 55 N STE 216, JACKSON, MS 39211-5931
(601) 718-0328
Mailing address
4500 I 55 N STE 216, JACKSON, MS 39211-5931
(601) 718-0328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6882
MS
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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