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1568029270
MARY LEE LEWIS
JACKSON, MS
NPI
1568029270
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Former Name
MARY LEE KENNEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S4467)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
MARY LEE LEWIS
6250 OLD CANTON RD STE 130
JACKSON, MS 39211-2946
Phone number: 601-956-7280
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Mailing Address
MARY LEE LEWIS
PO BOX 2153 DEPT 1947
BIRMINGHAM, AL 35287-0001
Phone number: 601-292-4562
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