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1912315441
VANESSA LORRAINE LEWIS
SOUTHFIELD, MI
NPI
1912315441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401012459)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
Ms. VANESSA LORRAINE LEWIS 6401012459
16250 NORTHLAND DR SOUTHFIELD
SOUTHFIELD, MI 48075-5205
Phone number: 313-528-1402
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Mailing Address
Ms. VANESSA LORRAINE LEWIS 6401012459
16250 NORTHLAND DR SOUTHFIELD
SOUTHFIELD, MI 48075-5205
Phone number: 313-528-1402
Copy
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