Individual
TERRANCE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2759 STATE ROAD 580 STE 112, CLEARWATER, FL 33761-3352
(786) 608-0124
Mailing address
1279 PALMETTO ST, CLEARWATER, FL 33755-4334
(305) 527-8629
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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