Individual
WILLA DAWN BLUE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S MAIN ST, LONDON, KY 40741-1903
(606) 492-2198
Mailing address
725 S MAIN ST, LONDON, KY 40741-1903
(606) 492-2198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
258999
KY
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/31/2024
Last updated
08/10/2026
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