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1023532124
LISA LEWIS
DOUGLAS, GA
NPI
1023532124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP010109)
Enumeration Date
2017-07-31
Last Update Date
2018-06-17
Business Address
LISA LEWIS SLP
118 PEARL AVE N
DOUGLAS, GA 31533
Phone number: 912-331-0846
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Mailing Address
LISA LEWIS SLP
2051 BELL TELEPHONE RD
HAZLEHURST, GA 31539-4643
Phone number: 912-347-4732
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