RODERICK JERMAINE LEWIS

SHREVEPORT, LA
NPI1669992939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-27
Last Update Date2017-06-27
Business Address
RODERICK JERMAINE LEWIS
2915 MACKEY LANE
SHREVEPORT, LA 71118-0000
Phone number: 318-518-9002
Mailing Address
RODERICK JERMAINE LEWIS
8533 ROITAN DR
SHREVEPORT, LA 71106-5813
Phone number: 318-518-9002
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