Individual
KELLEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9876 MAIN ST, SUITE 100, WOODSTOCK, GA 30188-3970
(678) 494-6906
(678) 494-6908
Mailing address
9876 MAIN ST, SUTIE 100, WOODSTOCK, GA 30188-3970
(678) 494-6906
(678) 494-6908
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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