Individual
KRISTIN LEANN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1175 COUNTY STREET 2955, TUTTLE, OK 73089-3138
(314) 435-2339
Mailing address
1175 COUNTY STREET 2955, TUTTLE, OK 73089-3138
(314) 435-2339
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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