Individual
MRS. LEANEDRA K WILLIS-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
600 MAIN ST STE 101, GARDENDALE, AL 35071-3649
(205) 607-2331
(205) 278-8755
Mailing address
PO BOX 2021, GARDENDALE, AL 35071-1880
(205) 607-2331
(205) 278-8755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4379G
AL
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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