Individual
IRENE MARIE LEWIS-WIMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
2611 WOODLAWN RD, STERLING, IL 61081-4151
(815) 625-0013
(815) 625-0197
Mailing address
306 14TH AVE, STERLING, IL 61081-2862
(815) 625-0013
(815) 625-0197
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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