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Individual

ANDREW LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2446 VAN DYKE ST, DETROIT, MI 48214-1827
(313) 925-5213
Mailing address
2446 VAN DYKE ST, DETROIT, MI 48214-1827
(313) 925-5213

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/16/2015
Last updated
07/16/2015
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