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1518645464
MADELYN P LEWIS
PALMDALE, CA
NPI
1518645464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1333380119)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
MADELYN P LEWIS
36722 45TH ST E
PALMDALE, CA 93552-5833
Phone number: 661-227-1642
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Mailing Address
MADELYN P LEWIS
37560 SIERRA HWY # 829
PALMDALE, CA 93550-9366
Phone number:
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