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1124218615
STEVON JAMAL LEWIS
HERMOSA BEACH, CA
NPI
1124218615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 52608)
Enumeration Date
2007-07-31
Last Update Date
2021-04-11
Business Address
Mr. STEVON JAMAL LEWIS
2447 PACIFIC COAST HWY STE 200
HERMOSA BEACH, CA 90254-2714
Phone number: 310-597-7580
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Mailing Address
Mr. STEVON JAMAL LEWIS
PO BOX 140
HERMOSA BEACH, CA 90254-0140
Phone number:
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