Individual
LEWIS DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 IKEA DR, WESTAMPTON, NJ 08060-5115
(609) 267-9339
Mailing address
25 IKEA DR, WESTAMPTON, NJ 08060-5115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210634494
—
NJ
Enumeration date
05/12/2016
Last updated
05/12/2016
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