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Individual
MARCIA LEWIS
Active
Individual
MARCIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT #72446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C18491214
CA
106H00000X
Marriage & Family Therapist
72446
CA
Other
Enumeration date
05/08/2014
Last updated
03/28/2019
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