Mike Lewis

NPI #1053740662 in Manchester, Tennessee

Provider Information

NPI Number
1053740662
Entity Type
Individual
Name
Mike Lewis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 4, 2013
Last Updated
Nov 4, 2013

Practice Location

Address
604 COLLEGE ST
ZIP Code
37355-1769
Phone
(931) 723-3051

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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Provider Name
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Part of Extended Family Care, LLC

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