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1508252867
LEWIS A. FABRICK, PHD, PA
GAINESVILLE, FL
NPI
1508252867
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Entity Type
Organization
Authorized Contact
LEWIS A. FABRICK
Owner
352-338-0397
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW560)
Enumeration Date
2015-04-13
Last Update Date
2015-06-03
Business Address
LEWIS A. FABRICK, PHD, PA
2833 NW 41ST ST STE 140
GAINESVILLE, FL 32606-6987
Phone number: 352-338-0397
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Mailing Address
LEWIS A. FABRICK, PHD, PA
2833 NW 41ST ST STE 140
GAINESVILLE, FL 32606-6987
Phone number: 352-338-0397
Copy
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