Individual
LILY KATHRYN DEFOREST COLVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
8850 NW 62ND AVE STE 140, JOHNSTON, IA 50131-3178
(515) 771-6194
Mailing address
3600 LINCOLN WAY STE 4, AMES, IA 50014-7595
(515) 239-4410
(515) 663-4885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113001
IA
Other
Enumeration date
10/11/2024
Last updated
09/29/2025
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