Larry Lewis
Larry Lewis is a Social Worker in Daytona Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1673 Mason Ave Ste 100Daytona Beach, FL 32117-5516
Phone: (386) 873-0365
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1154031391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 29, 2022 |
| Last updated in NPPES | November 29, 2022 |
| Certification date | November 29, 2022 |
| Mailing address | 1673 Mason Ave Ste 100, Daytona Beach, FL 32117-5516 |
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