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1457923104
DOUGLAS EDWARD LEWIS
DECATUR, GA
NPI
1457923104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: GA PSY004426)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
Dr. DOUGLAS EDWARD LEWIS PSYD
2550 BLACKMON DR APT 4214
DECATUR, GA 30033-6232
Phone number: 434-548-3656
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Mailing Address
Dr. DOUGLAS EDWARD LEWIS PSYD
1230 BALD RIDGE MARINA RD STE 800
CUMMING, GA 30041-7536
Phone number: 434-548-3656
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