Individual
MR. EDWARD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1112 5TH ST, GRETNA, LA 70053
(504) 373-6026
Mailing address
1112 5TH ST, GRETNA, LA 70053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
12/11/2015
Last updated
07/25/2016
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