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Larry Lewis

Social Worker in Daytona Beach, FL. Individual provider (NPI-1).

NPI number1154031391
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1154031391
Entity type
Individual (NPI-1)
Name
Larry Lewis
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2022
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

1673 Mason Ave Ste 100
Daytona Beach, FL 32117-5516

Phone 386-873-0365

Mailing address

1673 Mason Ave Ste 100
Daytona Beach, FL 32117-5516

Phone 386-873-0365

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