Individual
MR. BRANDON SCOTT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 S GLOSTER ST, TUPELO, MS 38801-6510
(662) 844-0047
(662) 844-0780
Mailing address
1502 S GLOSTER ST, TUPELO, MS 38801-6510
(662) 844-0047
(662) 844-0780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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