CHARLES LEWIS

SHREVEPORT, LA
NPI1669962965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-05-14
Last Update Date2022-02-10
Business Address
CHARLES LEWIS
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
Mailing Address
CHARLES LEWIS
3625 YOUREE DR
SHREVEPORT, LA 71105-2121
Phone number: 318-742-3408
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