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1992317796
CAROLE M LEWIS
PASADENA, CA
NPI
1992317796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CA LCS16613)
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
CAROLE M LEWIS
515 BONITA AVE
PASADENA, CA 91107-5142
Phone number: 626-622-7478
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Mailing Address
CAROLE M LEWIS
515 BONITA AVE
PASADENA, CA 91107-5142
Phone number: 626-622-7478
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