ISIS EBONI ELISE LEWIS

WACO, TX
NPI1205503133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: TX  67802)
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
ISIS EBONI ELISE LEWIS LCSW
110 S 12TH ST
WACO, TX 76701-1810
Phone number: 254-752-3451
Mailing Address
ISIS EBONI ELISE LEWIS LCSW
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-7899
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