Nicole Lewis

NPI #1427557560 in Gulfport, Mississippi

Provider Information

NPI Number: 1427557560
Entity Type: Individual
Name: Nicole Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 5, 2018
Last Updated: Feb 5, 2018

Practice Location

Address: 302 COURTHOUSE RD
City: Gulfport
State: Mississippi
ZIP Code: 39507-1890
Phone: (228) 897-7465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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