Individual
SHEVONTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 RINGGOLD AVE, COUSHATTA, LA 71019-9078
(318) 932-3362
Mailing address
1311 RINGGOLD AVE, COUSHATTA, LA 71019-9078
(318) 932-3362
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16448
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/06/2018
Last updated
12/15/2022
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