Organization
WILLS CENTER
Active
Other names
Henry Lee Willis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANNE SANSOUCY MA, CAGS, LMHC (CLINICIAN)
(508) 799-2934
Entity
Organization
Contact information
Practice address
44 FRONT ST, 4TH FLOOR, WORCESTER, MA 01608-1733
(508) 799-2934
Mailing address
91 KENBERMA RD, #2, WORCESTER, MA 01604-3951
(508) 479-9310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6707
MA
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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