Individual
JOHN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.S.W.
Contact information
Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(313) 388-4630
Mailing address
23600 W OUTER DRIVE, LINCOLN PARK, MI 48146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094341
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2010
Last updated
02/10/2017
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