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1083195168
TANESHIA LEWIS
LAKE CITY, FL
NPI
1083195168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
TANESHIA LEWIS
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 352-374-5600
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Mailing Address
TANESHIA LEWIS
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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