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1316304173
CHARLES LEWIS
RADCLIFF, KY
NPI
1316304173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: KY 253567)
Enumeration Date
2016-01-25
Last Update Date
2020-12-30
Business Address
CHARLES LEWIS
111 N WOODLAND DR STE B
RADCLIFF, KY 40160-2678
Phone number: 270-807-0533
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Mailing Address
CHARLES LEWIS
111 N WOODLAND DR STE B
RADCLIFF, KY 40160-2678
Phone number: 270-348-4840
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