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1346638673
SHAUN B LEWIS
MARIETTA, GA
NPI
1346638673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC007441)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
-- SHAUN B LEWIS LPC
2759 DELK RD SE SUITE 1400
MARIETTA, GA 30067-8847
Phone number: 678-401-4596
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Mailing Address
-- SHAUN B LEWIS LPC
2396 PENDERGRASS LN
ELLENWOOD, GA 30294-6249
Phone number: 484-459-6813
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