Organization
MARCIA L LEWIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA L LEWIS PHD (OWNER)
(803) 233-6388
Entity
Organization
Contact information
Practice address
1898 CALHOUN ST, #5, COLUMBIA, SC 29201-2649
(803) 233-6388
Mailing address
1898 CALHOUN ST, #5, COLUMBIA, SC 29201-2649
(803) 233-6388
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1113
SC
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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