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Individual

ADAM D. E. WILLS

Active
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Individual

ADAM D. E. WILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LISW-S

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149016358
IL
1041C0700X
Clinical Social Worker
Primary
I. 1101243
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000750568
ANTHEM
01
12302929
CAQH: HUMANA, QUALITY CARE PARTNERS, AETNA, MED MUTUAL, TRICARE, THE HEALTH PLAN
Enumeration date
01/05/2010
Last updated
07/27/2020
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