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1316498819
ANGIE LEWIS
UKIAH, CA
NPI
1316498819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-19
Last Update Date
2018-11-07
Business Address
ANGIE LEWIS
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2367
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Mailing Address
ANGIE LEWIS
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2367
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