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Individual
LEWIS CHASE II
Active
Individual
LEWIS CHASE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW, CADC-M
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-00898
MI
104100000X
Social Worker
Primary
6802065813
MI
Other
Enumeration date
04/23/2015
Last updated
08/30/2026
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