ANDREW XAVIER LEWIS

FAIRBORN, OH
NPI1801485214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.173610)
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
ANDREW XAVIER LEWIS
323 N BROAD ST
FAIRBORN, OH 45324-4934
Phone number: 937-318-8103
Mailing Address
ANDREW XAVIER LEWIS
323 N BROAD ST
FAIRBORN, OH 45324-4934
Phone number: 937-318-8103
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