Individual
ELISSA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3730 TABS DR, UNIONTOWN, OH 44685-9562
(330) 595-2039
Mailing address
3730 TABS DR, UNIONTOWN, OH 44685-9562
(330) 595-2039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2207677
OH
Other
Enumeration date
05/27/2022
Last updated
09/09/2025
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