Individual
DARRELL WILFORD LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
321 N MALL DRIVE STE. VW 101, ST. GEORGE, UT 84790
(435) 319-0082
Mailing address
321 N MALL DR STE VW101, ST GEORGE, UT 84790-7337
(435) 319-0082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
269698
UT
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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