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1720594591
LEWIS EDWARD YOUNG
EL CAJON, CA
NPI
1720594591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-15
Last Update Date
2017-12-15
Business Address
LEWIS EDWARD YOUNG
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-465-7303
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Mailing Address
LEWIS EDWARD YOUNG
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 619-465-7303
Copy
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