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1225641335
KENNY E LEWIS
DANVILLE, VA
NPI
1225641335
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Former Name
KENNY EUGENE LEWIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA T60242223)
Enumeration Date
2020-08-28
Last Update Date
2020-08-28
Business Address
KENNY E LEWIS
519 DOWNING DR
DANVILLE, VA 24541-5208
Phone number: 434-421-0034
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Mailing Address
KENNY E LEWIS
625 PINEY FOREST RD
DANVILLE, VA 24540-2867
Phone number: 434-549-5215
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