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1144659145
BRENDA LEWIS
GRETNA, LA
NPI
1144659145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1192)
Enumeration Date
2013-11-11
Last Update Date
2013-11-11
Business Address
-- BRENDA LEWIS
2109 ESPLANADE PL
GRETNA, LA 70056-2928
Phone number: 504-220-2456
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Mailing Address
-- BRENDA LEWIS
2109 ESPLANADE PL
GRETNA, LA 70056-2928
Phone number: 504-220-2456
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