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1114295334
KRIS LEWIS
DETROIT, MI
NPI
1114295334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- KRIS LEWIS
20205 SORRENTO ST
DETROIT, MI 48235-1191
Phone number: 313-585-8389
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Mailing Address
-- KRIS LEWIS
20205 SORRENTO ST
DETROIT, MI 48235-1191
Phone number: 313-585-8389
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