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India Lewis

Social Worker in Thibodaux, LA. Individual provider (NPI-1).

NPI number1194270983
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1194270983
Entity type
Individual (NPI-1)
Name
India Lewis
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 22, 2016
Certification date
Feb 15, 2024
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker17247LAYes
101Y00000X Counselor010633944LA

Practice location

1418 Tiger Dr
Thibodaux, LA 70301-4337

Phone 985-449-4055 · Fax 985-449-4178

Mailing address

1418 Tiger Dr
Thibodaux, LA 70301-4337

Phone 985-449-4055 · Fax 985-449-4178

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