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Individual

MRS. AMELIA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, LCDC-I

Contact information

Practice address
6520 UNIVERSITY AVE SPC 5, LUBBOCK, TX 79413-5811
(214) 883-7944
Mailing address
2109 100TH ST, LUBBOCK, TX 79423-7153
(214) 883-7944

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
203136
TX

Other

Enumeration date
06/03/2020
Last updated
06/03/2020
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