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1154926673
EDGAR LEWIS
JACKSON, MS
NPI
1154926673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
EDGAR LEWIS PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
EDGAR LEWIS PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Copy
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