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1952815458
KELLYE JEAN LEWIS
SHREVEPORT, LA
NPI
1952815458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA LPC6093)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
KELLYE JEAN LEWIS MA, LPC, NCC
3821 SOUTHERN AVE
SHREVEPORT, LA 71106-1033
Phone number: 318-946-8157
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Mailing Address
KELLYE JEAN LEWIS MA, LPC, NCC
108 COLIN P KELLY DR
MINDEN, LA 71055-7912
Phone number: 318-402-6379
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