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Individual

MR. JEREMY DAVID LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSED, LMFT

Contact information

Practice address
1752 WESLEY RD, AUBURN, IN 46706-3646
(260) 925-3865
(206) 925-3892
Mailing address
PO BOX 562, AUBURN, IN 46706-0562
(260) 925-3865
(260) 925-3892

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001668A
IN

Other

Enumeration date
04/02/2009
Last updated
03/23/2021
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