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Individual

SHIRELL ERICA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1102 RAY CHARLES BLVD UNIT 221, TAMPA, FL 33602-3049
(813) 750-9290
Mailing address
1102 RAY CHARLES BLVD UNIT 221, TAMPA, FL 33602-3049
(813) 750-9290

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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