BREACIOUS SENQUAE LEWIS

PACE, FL
NPI1699527762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-04-03
Last Update Date2024-04-03
Business Address
BREACIOUS SENQUAE LEWIS
4553 WATKINS ST
PACE, FL 32571-2511
Phone number: 850-800-2772
Mailing Address
BREACIOUS SENQUAE LEWIS
4553 WATKINS ST
PACE, FL 32571-2511
Phone number: