PHYLLIS LEWIS

ADA, OK
NPI1588780936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- PHYLLIS LEWIS BA
704 N OAK AVE ROOM 20-21
ADA, OK 74820-3267
Phone number: 580-332-3001
Mailing Address
-- PHYLLIS LEWIS BA
704 N OAK AVE ROOM 20-21
ADA, OK 74820-3267
Phone number: 580-332-3001
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