JACOB LEWIS

STONEHAM, MA
NPI1629853940
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  23155)
Enumeration Date2023-08-25
Last Update Date2023-08-25
Business Address
JACOB LEWIS LADC-1
26 KEENE ST
STONEHAM, MA 02180-1173
Phone number: 781-223-6896
Mailing Address
JACOB LEWIS LADC-1
26 KEENE ST
STONEHAM, MA 02180-1173
Phone number: 781-223-6896
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