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1346487303
KEITH BRYSON LEWIS
SALEM, VA
NPI
1346487303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007690)
Enumeration Date
2009-01-13
Last Update Date
2011-07-06
Business Address
-- KEITH BRYSON LEWIS MSW
1970 ROANOKE BLVD 116A5
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
-- KEITH BRYSON LEWIS MSW
1970 ROANOKE BLVD 116A5
SALEM, VA 24153-6404
Phone number: 540-982-2463
Copy
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