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1619343514
CHARLES SCOTT LEWIS
DETROIT, MI
NPI
1619343514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-08-13
Last Update Date
2015-08-13
Business Address
Mr. CHARLES SCOTT LEWIS
11726 ROSEMARY ST
DETROIT, MI 48213-1349
Phone number: 313-808-5898
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Mailing Address
Mr. CHARLES SCOTT LEWIS
11726 ROSEMARY ST
DETROIT, MI 48213-1349
Phone number: 313-808-5898
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