ELLIOT JXAVIER LEWIS

SHREVEPORT, LA
NPI1316458748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1438)
Enumeration Date2017-10-12
Last Update Date2017-10-12
Business Address
Mr. ELLIOT JXAVIER LEWIS RAC
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-226-2890
Mailing Address
Mr. ELLIOT JXAVIER LEWIS RAC
525 CROCKETT ST
SHREVEPORT, LA 71101-3601
Phone number: 318-226-2890
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