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1114583705
JOAN LEWIS
JACKSON, MI
NPI
1114583705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-05-20
Last Update Date
2019-11-05
Business Address
JOAN LEWIS
950 W MONROE ST STE 600
JACKSON, MI 49202
Phone number: 175-945-5632
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Mailing Address
JOAN LEWIS
950 W MONROE ST STE 600
JACKSON, MI 49202-2173
Phone number: 175-945-5632
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