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Individual

MR. EDMUND PRESTON LEWIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCSWA,

Contact information

Practice address
10400 LAUREL COACH LN APT 307, RALEIGH, NC 27617-8462
(248) 389-5742
Mailing address
10400 LAUREL COACH LN APT 307, RALEIGH, NC 27617-8462
(248) 389-5742

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PO23194
NC

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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