Individual
MS. MARCELLA A LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2375 MEMPHIS ST, SUITE 208, HERNANDO, MS 38632-1756
(901) 230-0622
(662) 449-0422
Mailing address
2375 MEMPHIS ST, SUITE 208, HERNANDO, MS 38632-1756
(901) 230-0622
(662) 449-0422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
00688
TN
1041C0700X
Clinical Social Worker
Primary
C7256
MS
Other
Enumeration date
10/13/2006
Last updated
10/30/2008
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