LILY KATHRYN DEFOREST COLVIG

JOHNSTON, IA
NPI1316767791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  113001)
Enumeration Date2024-10-11
Last Update Date2025-09-29
Business Address
LILY KATHRYN DEFOREST COLVIG LISW
8850 NW 62ND AVE STE 140
JOHNSTON, IA 50131-3178
Phone number: 515-771-6194
Mailing Address
LILY KATHRYN DEFOREST COLVIG LISW
3600 LINCOLN WAY STE 4
AMES, IA 50014-7595
Phone number: 515-239-4410