Individual
DEBORAH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISWS
Contact information
Practice address
2125 SUPERIOR AVE E, CLEVELAND, OH 44114-2101
(216) 391-4970
(216) 664-0582
Mailing address
2125 SUPERIOR AVE E, CLEVELAND, OH 44114-2101
(216) 391-4970
(216) 664-0582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0003038
OH
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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