Individual
MRS. MACKENZIE KING LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
203 WALDEN WOODS DR, LA GRANGE, NC 28551-8664
(252) 227-9346
Mailing address
203 WALDEN WOODS DR, LA GRANGE, NC 28551-8664
(252) 227-9346
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1370
NC
Other
Enumeration date
05/27/2009
Last updated
05/10/2019
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