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1902515042
GWENDOLEN LEWIS
KATY, TX
NPI
1902515042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
106S00000X Behavior Technician
(Licence: ND RBT-23-294566)
Enumeration Date
2022-11-17
Last Update Date
2024-03-26
Business Address
GWENDOLEN LEWIS
21416 PROVINCIAL BLVD
KATY, TX 77450-7587
Phone number: 281-769-2400
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Mailing Address
GWENDOLEN LEWIS
1547 30TH AVE S
MOORHEAD, MN 56560-5149
Phone number:
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