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Individual

THOMAS JEFFERSON LEWIS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC; LMFT

Contact information

Practice address
700 E JEFFERSON ST, 250, PHOENIX, AZ 85034-2201
(602) 616-4433
Mailing address
700 E JEFFERSON ST STE 240, PHOENIX, AZ 85034-2204
(602) 616-4433

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
564
CO

Other

Enumeration date
06/01/2006
Last updated
07/04/2019
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