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Individual

ANNISSA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
410 HIGH ST, MARSHALL, MI 49068-1224
(517) 392-1814
Mailing address
410 HIGH ST, MARSHALL, MI 49068-1224
(517) 392-1814

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009840
MI

Other

Enumeration date
09/25/2014
Last updated
06/07/2019
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