Individual
KANDI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 PRINCETON AVE, ADAIRSVILLE, GA 30103-2659
(678) 381-4198
Mailing address
22 PRINCETON AVE, ADAIRSVILLE, GA 30103-2659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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