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Individual
MS. MARYLYNN-MIMI LEWIS
Active
Individual
MS. MARYLYNN-MIMI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CADCII
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 20427
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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