Individual
LILIA CARREON WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 WALNUT ST, LA VERNE, CA 91750-5416
(909) 593-8397
Mailing address
2090 WALNUT ST, LA VERNE, CA 91750-5416
(909) 593-8397
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
103TS0200X
CA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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