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Individual
DR. LEWIS A FABRICK
Active
Individual
DR. LEWIS A FABRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, PA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW560
FL
106H00000X
Marriage & Family Therapist
MT160
FL
Other
Enumeration date
07/20/2005
Last updated
06/02/2015
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