Individual
CLARE GENEVIEVE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3896 24TH ST, SAN FRANCISCO, CA 94114-3839
(415) 484-6452
Mailing address
PO BOX 460022, SAN FRANCISCO, CA 94146-0022
(415) 484-6452
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32405
CA
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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