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Individual

STEPHEN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2900 CHARLEVOIX DRIVE SE, SUITE 200, GRAND RAPIDS, MI 49546
(941) 928-5220
Mailing address
2900 CHARLEVOIX DRIVE SE, SUITE 200, GRAND RAPIDS, MI 49546

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07744
MD

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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