Individual
DWILA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10811 CORIANDER PL, FORT WAYNE, IN 46818-8749
(260) 615-5982
Mailing address
10811 CORIANDER PL, FORT WAYNE, IN 46818-8749
(260) 615-5982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33012992A
IN
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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