Individual
MS. DESHANTRA KAMESHEL MOORE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-S
Contact information
Practice address
1941 EAST RD, HOUSTON, TX 77054-6010
(713) 486-2630
Mailing address
2700 LAKE OLYMPIA PKWY STE 202, MISSOURI CITY, TX 77459-4324
(832) 647-5165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51971
TX
1041C0700X
Clinical Social Worker
LC50079030
DC
Other
Enumeration date
05/10/2011
Last updated
03/23/2022
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