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1003834417
MARY LOUISE LEWIS
MONROE, LA
NPI
1003834417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 831)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Ms. MARY LOUISE LEWIS MA, LAC
3200 CONCORDIA AVE
MONROE, LA 71201-5113
Phone number: 318-362-5188
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Mailing Address
Ms. MARY LOUISE LEWIS MA, LAC
122 MOHAWK CIR
WEST MONROE, LA 71291-8142
Phone number: 318-396-8112
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