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1780953893
LOGAN W. LEWIS
JAMAICA, NY
NPI
1780953893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 073124)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
Business Address
Mr. LOGAN W. LEWIS LMSW
17515 ROCKAWAY BLVD
JAMAICA, NY 11434-5503
Phone number: 718-632-3275
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Mailing Address
Mr. LOGAN W. LEWIS LMSW
8439 117TH ST
RICHMOND HILL, NY 11418-1402
Phone number: 646-879-0107
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