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Individual

CAROLYN V LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 419-4000
(404) 419-4263
Mailing address
5021 CHESTER CT SW, LILBURN, GA 30047-5416
(770) 925-8542

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001556
GA

Other

Enumeration date
10/17/2006
Last updated
08/08/2007
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