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1588648257
A. RANDY LEWIS
FAIRBANKS, AK
NPI
1588648257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK 788)
Enumeration Date
2005-12-05
Last Update Date
2016-03-04
Business Address
Mr. A. RANDY LEWIS LCSW
250 CUSHMAN ST STE 4F
FAIRBANKS, AK 99701-4665
Phone number: 907-457-1128
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Mailing Address
Mr. A. RANDY LEWIS LCSW
PO BOX 80361
FAIRBANKS, AK 99708-0361
Phone number: 907-457-1128
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