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Individual

NAOMI WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2302 MORELAND BLVD, CHAMPAIGN, IL 61822-1398
(312) 401-1374
Mailing address
505 E WHITE ST APT 10, CHAMPAIGN, IL 61820-4444
(312) 401-1374

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/03/2019
Last updated
09/03/2019
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