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1629399100
JACK BERNARD LEWIS
WOODBURY, NJ
NPI
1629399100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA CW014617)
Enumeration Date
2010-06-18
Last Update Date
2010-06-18
Business Address
Mr. JACK BERNARD LEWIS M.S.W., L.C.S.W.
102 LANDING DR
WOODBURY, NJ 08096-6845
Phone number: 856-384-0205
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Mailing Address
Mr. JACK BERNARD LEWIS M.S.W., L.C.S.W.
102 LANDING DR
WOODBURY, NJ 08096-6845
Phone number: 856-384-0205
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