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Individual

CLARA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/MAT

Contact information

Practice address
2920 KNIGHT ST STE 155, SHREVEPORT, LA 71105-2412
(318) 318-4296
(318) 629-2870
Mailing address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 213-1804
(318) 629-2870

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/06/2015
Last updated
10/20/2023
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