WILLIE LEWIS

FRESNO, CA
NPI1386709343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  02-056822)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
-- WILLIE LEWIS
4411 N CEDAR AVE STE 108
FRESNO, CA 93726-2538
Phone number: 559-248-1548
Mailing Address
-- WILLIE LEWIS
2581 N PIMA AVE
FRESNO, CA 93722-5152
Phone number: 559-248-1548
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