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1538492491
MARK HENRY LEWIS
FERGUS FALLS, MN
NPI
1538492491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 302705)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
MARK HENRY LEWIS L.A.D.C.
217 N UNION AVE
FERGUS FALLS, MN 56537-2127
Phone number: 218-739-9084
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Mailing Address
MARK HENRY LEWIS L.A.D.C.
217 N UNION AVE
FERGUS FALLS, MN 56537-2127
Phone number: 218-739-9084
Copy
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