Provider Information for 1306984513
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Mrs. SHARRON SANDERS LEWIS LCSW
Sex: Female
NPI: 1306984513
Last Updated: 2021-04-21
Certification Date: 2021-04-21
Certification Date: 2021-04-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306984513 | ||||||||
| Enumeration Date | 2007-02-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 402 W 8TH ST DERIDDER, LA 70634-5508 United States Phone: 337-401-4686 | Fax:337-221-3054 | ||||||||
| Primary Practice Address | 106 W PORT ST DERIDDER, LA 70634-4040 United States Phone: 337-462-1641 | Fax: | ||||||||
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