Individual
CARLOTA LANESHIA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2449
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60351
TX
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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