Individual
LATONIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17422 US HIGHWAY 64, SOMERVILLE, TN 38068-6160
(901) 466-6544
Mailing address
3197 MELBOURNE ST, MEMPHIS, TN 38127-6739
(731) 460-1351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4652
TN
Other
Enumeration date
03/30/2021
Last updated
11/10/2023
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