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Cody S. Lewis

Social Worker in Urbana, IL. Individual provider (NPI-1).

NPI number1780138834
StatusActive
Last updated in NPPESAug 6, 2016

Details

NPI
1780138834
Entity type
Individual (NPI-1)
Name
Cody S. Lewis
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 6, 2016
Last updated
Aug 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker150.101685ILYes

Practice location

602 S Busey Ave
#1
Urbana, IL 61801-4092

Phone 314-605-8942

Mailing address

602 S Busey Ave
#1
Urbana, IL 61801-4092

Phone 314-605-8942

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