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1053847251
NICOLE BASHAN LEWIS
CROWN POINT, IN
NPI
1053847251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 88000389A)
Enumeration Date
2017-05-08
Last Update Date
2017-05-08
Business Address
-- NICOLE BASHAN LEWIS
1325 W 98TH AVE
CROWN POINT, IN 46307
Phone number: 219-789-9185
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Mailing Address
-- NICOLE BASHAN LEWIS
1325 W 98TH AVE
CROWN POINT, IN 46307-2465
Phone number: 219-789-9185
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