DARRELL D'WAYNE LEWIS

SHREVEPORT, LA
NPI1861935959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
Mr. DARRELL D'WAYNE LEWIS
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
Mailing Address
Mr. DARRELL D'WAYNE LEWIS
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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