ELIJAH JUDE LEWIS

LAKE CHARLES, LA
NPI1770356875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-11-01
Last Update Date2024-01-11
Business Address
Mr. ELIJAH JUDE LEWIS
1634 RYAN ST
LAKE CHARLES, LA 70601-5949
Phone number: 337-602-6391
Mailing Address
Mr. ELIJAH JUDE LEWIS
1634 RYAN ST
LAKE CHARLES, LA 70601-5949
Phone number: 337-602-6391
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