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1710379557
S LEVY
LACEY, WA
NPI
1710379557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL ISW9414)
Enumeration Date
2015-03-03
Last Update Date
2015-03-03
Business Address
S LEVY MED, MSW
1401 MARVIN RD NE #307163
LACEY, WA 98516-5709
Phone number: 917-254-6662
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Mailing Address
S LEVY MED, MSW
1401 MARVIN RD NE #307163
LACEY, WA 98516-5709
Phone number:
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