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1609452200
TANISHA LEWIS
BRONX, NY
NPI
1609452200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: NY 110804)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
TANISHA LEWIS LMSW
860 MELROSE AVE
BRONX, NY 10451-4443
Phone number: 917-473-6996
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Mailing Address
TANISHA LEWIS LMSW
253 MALDEN PL # A60
STATEN ISLAND, NY 10306-4603
Phone number: 347-898-5792
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