MIKE LEWIS

MANCHESTER, TN
NPI1053740662
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: TN  I000000013631)
Enumeration Date2013-11-04
Last Update Date2013-11-04
Business Address
-- MIKE LEWIS
604 COLLEGE ST
MANCHESTER, TN 37355-1769
Phone number: 931-723-3051
Mailing Address
-- MIKE LEWIS
604 COLLEGE ST
MANCHESTER, TN 37355-1769
Phone number: 931-723-3051
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