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Individual
MR. RON LEWIS
Active
Individual
MR. RON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072708210002
—
PA
01
—
0227455000
PERSONAL CHOICE
PA
01
—
176363000
MAGELLAN
PA
01
—
5253586
AETNA
PA
Enumeration date
09/02/2006
Last updated
02/18/2016
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