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1265006407
ELIJAH LEWIS
ORLANDO, FL
NPI
1265006407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
ELIJAH LEWIS
6147 CHRISTIAN WAY
ORLANDO, FL 32808-1435
Phone number: 407-296-5300
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Mailing Address
ELIJAH LEWIS
6147 CHRISTIAN WAY
ORLANDO, FL 32808-1435
Phone number:
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