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1780138834
CODY S. LEWIS
URBANA, IL
NPI
1780138834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.101685)
Enumeration Date
2016-08-06
Last Update Date
2016-08-06
Business Address
-- CODY S. LEWIS
602 S BUSEY AVE #1
URBANA, IL 61801-4092
Phone number: 314-605-8942
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Mailing Address
-- CODY S. LEWIS
602 S BUSEY AVE #1
URBANA, IL 61801-4092
Phone number: 314-605-8942
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