Individual
MS. HEATHER LYNETTE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(405) 848-7555
(405) 949-0929
Mailing address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(405) 848-7555
(405) 949-0929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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