MARK HENRY LEWIS

FERGUS FALLS, MN
NPI1538492491
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  302705)
Enumeration Date2009-09-10
Last Update Date2009-09-10
Business Address
MARK HENRY LEWIS L.A.D.C.
217 N UNION AVE
FERGUS FALLS, MN 56537-2127
Phone number: 218-739-9084
Mailing Address
MARK HENRY LEWIS L.A.D.C.
217 N UNION AVE
FERGUS FALLS, MN 56537-2127
Phone number: 218-739-9084