LARRY WAYNE LEWIS

CENTERVILLE, UT
NPI1942365663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: UT  5595450-6004)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
MR. LARRY WAYNE LEWIS LPC
94 E PAGES LN # A
CENTERVILLE, UT 84014-2216
Phone number: 801-294-0578
Mailing Address
MR. LARRY WAYNE LEWIS LPC
155 N FORT LN APT D
LAYTON, UT 84041-3843
Phone number: 801-593-0616
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