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1063238806
OLIVIA LEWIS
FREDERICK, MD
NPI
1063238806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Additional Taxonomies
103K00000X Behavior Analyst
(Licence: MD LBA907)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
OLIVIA LEWIS
191 S EAST ST
FREDERICK, MD 21701-5918
Phone number: 301-644-5000
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Mailing Address
OLIVIA LEWIS
1906 S MAIN ST
MOUNT AIRY, MD 21771-5303
Phone number: 513-307-9082
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