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1881043552
PHYLLIS LEWIS
SHREVEPORT, LA
NPI
1881043552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-06-03
Last Update Date
2016-06-03
Business Address
-- PHYLLIS LEWIS
331 MILAM ST
SHREVEPORT, LA 71101-5353
Phone number: 318-213-0904
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Mailing Address
-- PHYLLIS LEWIS
100 CROSSROADS APT 634
BOSSIER CITY, LA 71111
Phone number: 917-474-3792
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