Individual
SAMUEL EDWARD ALPHA LEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
3408 NILES RD, SAINT JOSEPH, MI 49085-8628
(269) 428-4789
Mailing address
640A SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103-1603
(305) 219-2978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017168
MI
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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