Individual
MOSES E WILLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5002
(334) 728-0568
Mailing address
759 LEE ROAD 57, AUBURN, AL 36832-8744
(334) 728-0568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5210G
AL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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