Individual
MR. THONAS O'NEAL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW,LCDC
Contact information
Practice address
1930 W E ROBERTS DR, GRAND PRAIRIE, TX 75051-1335
(972) 660-8565
Mailing address
603 E LYNN CREEK DR, ARLINGTON, TX 76002-5404
(817) 784-2544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10793
TX
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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