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1750682134
SUSANNA LEWIS
GASTONIA, NC
NPI
1750682134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1688)
Enumeration Date
2010-11-16
Last Update Date
2015-10-07
Business Address
Ms. SUSANNA LEWIS LCAS, LPCA
708 S CHESTNUT ST
GASTONIA, NC 28054-4548
Phone number: 252-531-7822
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Mailing Address
Ms. SUSANNA LEWIS LCAS, LPCA
703 ROLLERTON RD APT.106
CHARLOTTE, NC 28205-1057
Phone number: 252-531-7822
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