Individual
TONI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
604 HIGHWAY 80 W STE R, CLINTON, MS 39056-4108
(601) 278-3246
Mailing address
PO BOX 243, JACKSON, MS 39205-0243
(601) 278-3246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7757
MS
Other
Enumeration date
03/14/2019
Last updated
12/05/2022
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