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1902948706
BRIAN ELLIS LEWIS
STOCKTON, CA
NPI
1902948706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- BRIAN ELLIS LEWIS
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080
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Mailing Address
-- BRIAN ELLIS LEWIS
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080
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