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Individual

MISS SHAKIMA LAKALE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4859 SHED RD, BOSSIER CITY, LA 71111-5492
(318) 599-5012
Mailing address
4859 SHED RD, BOSSIER CITY, LA 71111-5492
(318) 588-5012
(318) 588-5008

Taxonomy

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

Other

Enumeration date
05/31/2017
Last updated
05/31/2017
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