JEREMY HEITH LEWIS

SHREVEPORT, LA
NPI1023886744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  5744)
Enumeration Date2023-12-12
Last Update Date2023-12-12
Business Address
JEREMY HEITH LEWIS
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
Mailing Address
JEREMY HEITH LEWIS
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
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