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Individual

DAVID J. LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4000 WAKE FOREST RD STE 280, RALEIGH, NC 27609-6859
(984) 212-0028
Mailing address
401 TYRELL TRL, JACKSONVILLE, NC 28546-0137
(910) 750-2682

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18026
NC

Other

Enumeration date
12/19/2022
Last updated
07/26/2024
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