Individual
COURTNEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 MUMSFORD CT, UNION CITY, GA 30291-3471
(404) 642-7565
Mailing address
108 MUMSFORD CT, UNION CITY, GA 30291-3471
(404) 642-7565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC013142
GA
Other
Enumeration date
02/14/2018
Last updated
04/19/2023
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