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Individual

GREG LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
107 E 25TH ST, BALTIMORE, MD 21218-5213
(443) 703-8034
Mailing address
9808 TOLWORTH CIR, RANDALLSTOWN, MD 21133-2024

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/17/2019
Last updated
04/30/2019
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