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1740714336
CLARISSA LEWIS
FAYETTEVILLE, GA
NPI
1740714336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC007637)
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
-- CLARISSA LEWIS LPC
100 KNIGHT WAY APT 402
FAYETTEVILLE, GA 30214-8100
Phone number: 678-492-1491
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Mailing Address
-- CLARISSA LEWIS LPC
100 KNIGHT WAY APT 402
FAYETTEVILLE, GA 30214-8100
Phone number: 678-492-1491
Copy
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