Individual
MRS. AMY LEE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
884 PLYMOUTH DR, JONESBORO, GA 30236-5587
(404) 803-0011
Mailing address
884 PLYMOUTH DR, JONESBORO, GA 30236-5587
(404) 803-0011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005783
GA
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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