Individual
MRS. REGINA S WILCOX-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 CARL CIR, BYRAM, MS 39272-4507
(601) 946-0369
Mailing address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 815-3305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11021
MS
174H00000X
Health Educator
—
MS
Other
Enumeration date
01/22/2024
Last updated
05/14/2024
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