Individual
JESSICA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 DEERRUN LN, HARVEY, LA 70058-2120
(504) 294-0727
Mailing address
3825 DEERRUN LN, HARVEY, LA 70058-2120
(504) 294-0727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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