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1104190834
BRANDON SCOTT LEWIS
TUPELO, MS
NPI
1104190834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-02-27
Last Update Date
2012-02-27
Business Address
Mr. BRANDON SCOTT LEWIS
1502 S GLOSTER ST
TUPELO, MS 38801-6510
Phone number: 662-844-0047
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Mailing Address
Mr. BRANDON SCOTT LEWIS
1502 S GLOSTER ST
TUPELO, MS 38801-6510
Phone number: 662-844-0047
Copy
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