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1538631684
ALICE LEWIS
SHREVEPORT, LA
NPI
1538631684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
ALICE LEWIS
9245 WALLACE LAKE RD STE A
SHREVEPORT, LA 71106-7331
Phone number: 318-221-2828
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Mailing Address
ALICE LEWIS
PO BOX 349
STONEWALL, LA 71078-0349
Phone number: 318-221-2828
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