JOHNNY LEWIS

TACOMA, WA
NPI1558536136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CPOOOO2988)
Enumeration Date2008-04-24
Last Update Date2008-04-28
Business Address
MR. JOHNNY LEWIS CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0291
Mailing Address
MR. JOHNNY LEWIS CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0291
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