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1205503133
ISIS EBONI ELISE LEWIS
WACO, TX
NPI
1205503133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 67802)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
ISIS EBONI ELISE LEWIS LCSW
110 S 12TH ST
WACO, TX 76701-1810
Phone number: 254-752-3451
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Mailing Address
ISIS EBONI ELISE LEWIS LCSW
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-7899
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