Individual
MISS GELISA EVETTE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
606 CAMERON LANDING DR, STOCKBRIDGE, GA 30281-6847
(404) 955-3547
Mailing address
606 CAMERON LANDING DR, STOCKBRIDGE, GA 30281-6847
(404) 955-3547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
25347
MD
1041C0700X
Clinical Social Worker
Primary
25347
MD
Other
Enumeration date
11/12/2015
Last updated
09/05/2023
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