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1205030541
MARY LEWIS
DAVIS, CA
NPI
1205030541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC43519)
Enumeration Date
2007-06-12
Last Update Date
2008-01-17
Business Address
-- MARY LEWIS
1932 PICASSO AVE
DAVIS, CA 95618-0504
Phone number: 530-574-4149
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Mailing Address
-- MARY LEWIS
1932 PICASSO AVE
DAVIS, CA 95618-0504
Phone number: 530-574-4149
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