EDGAR LEWIS

JACKSON, MS
NPI1154926673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-12-02
Last Update Date2020-12-02
Business Address
EDGAR LEWIS PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Mailing Address
EDGAR LEWIS PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400