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1114943859
JUDY DIANE LEWIS
LODI, CA
NPI
1114943859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 35589)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Mrs. JUDY DIANE LEWIS MFT
1806 W KETTLEMAN LN STE D1
LODI, CA 95242-4316
Phone number: 209-607-7895
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Mailing Address
Mrs. JUDY DIANE LEWIS MFT
1806 W KETTLEMAN LN STE D1
LODI, CA 95242-4316
Phone number: 209-607-7895
Copy
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