IVAN LEWIS

BATON ROUGE, LA
NPI1497101042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-05-12
Last Update Date2018-05-14
Business Address
Mr. IVAN LEWIS
8211 GOODWOOD BLVD SUITE A1
BATON ROUGE, LA 70806
Phone number: 225-421-1921
Mailing Address
Mr. IVAN LEWIS
8211 GOODWOOD BLVD STE A1
BATON ROUGE, LA 70806-7740
Phone number: 225-421-1921
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