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1598110124
AMANDA LEWIS, MSW, LCSW, LLC
SHILOH, IL
NPI
1598110124
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Entity Type
Organization
Authorized Contact
AMANDA ROSE LEWIS
Managing Member
618-334-5571
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL 149.018245)
Enumeration Date
2016-05-02
Last Update Date
2016-05-02
Business Address
AMANDA LEWIS, MSW, LCSW, LLC
1161 FORTUNE BLVD SUITE 400
SHILOH, IL 62269-7385
Phone number: 618-334-5571
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Mailing Address
AMANDA LEWIS, MSW, LCSW, LLC
1161 FORTUNE BLVD SUITE 400
SHILOH, IL 62269-7385
Phone number: 618-334-5571
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