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Individual

DANA MAURICE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
4200 EDMONDSON AVE STE 202, BALTIMORE, MD 21229-1614
(667) 231-1877
Mailing address
4200 EDMONDSON AVE STE 202, BALTIMORE, MD 21229-1614
(667) 231-1877

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19946
MD

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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