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1013262971
ANTHONY S LEWIS
NORCROSS, GA
NPI
1013262971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL 4122851)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
DR. ANTHONY S LEWIS PHD
5712 PINE OAK DR
NORCROSS, GA 30092-3508
Phone number: 770-696-1549
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Mailing Address
DR. ANTHONY S LEWIS PHD
5712 PINE OAK DR
NORCROSS, GA 30092-3508
Phone number: 770-696-1549
Copy
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