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1710612551
KALLAN PARKER LEWIS
JACKSON, TN
NPI
1710612551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-17
Last Update Date
2022-07-17
Business Address
KALLAN PARKER LEWIS
168 W UNIVERSITY PKWY
JACKSON, TN 38305-1624
Phone number: 731-300-2619
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Mailing Address
KALLAN PARKER LEWIS
168 W UNIVERSITY PKWY STE C
JACKSON, TN 38305-1624
Phone number:
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