Individual
INDIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Mailing address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
(985) 449-4178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
010633944
LA
104100000X
Social Worker
Primary
17247
LA
Other
Enumeration date
08/22/2016
Last updated
02/15/2024
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