Individual
COURTNEY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3130 N SHILOH RD, GARLAND, TX 75044-8014
(214) 864-3013
Mailing address
PO BOX 961, WYLIE, TX 75098-0961
(214) 864-3013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108758
TX
Other
Enumeration date
11/04/2014
Last updated
06/11/2015
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