Individual
DR. ANTHONY S LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5712 PINE OAK DR, NORCROSS, GA 30092-3508
(770) 696-1549
Mailing address
5712 PINE OAK DR, NORCROSS, GA 30092-3508
(770) 696-1549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4122851
FL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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