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1063084234
JALISA LEWIS
CHARLOTTE, NC
NPI
1063084234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012933)
Enumeration Date
2021-07-15
Last Update Date
2022-02-22
Business Address
JALISA LEWIS
12115 LEMMOND FARM DR APT 1101
CHARLOTTE, NC 28227-8191
Phone number: 919-222-6052
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Mailing Address
JALISA LEWIS
12115 LEMMOND FARM DR APT 1101
CHARLOTTE, NC 28227-8191
Phone number: 919-222-6052
Copy
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