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Individual

EMILY VIRGINIA HENLEY-LEWALSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
110 S MAIN ST, HIAWASSEE, GA 30546-3408
(706) 896-2222
Mailing address
8660 15TH LN N, ST PETERSBURG, FL 33702-2806
(727) 560-6709

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006326
GA
133V00000X
Registered Dietitian
ND11626
FL

Other

Enumeration date
01/24/2023
Last updated
02/17/2023
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