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1790531622
RYAN CHRISTOPHER LEWIS
PANTEGO, TX
NPI
1790531622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-04-30
Last Update Date
2024-04-30
Business Address
RYAN CHRISTOPHER LEWIS
3613 W PIONEER PKWY STE A
PANTEGO, TX 76013-4517
Phone number: 817-646-6823
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Mailing Address
RYAN CHRISTOPHER LEWIS
2212 SHADY PARK DR
ARLINGTON, TX 76013-5703
Phone number: 256-783-0855
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