Individual
AMY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2399 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(734) 785-7718
Mailing address
41547 TOMPKINS ST, BELLEVILLE, MI 48111-3441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
03/08/2017
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