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Individual

MR. ROBERT ALTON WILLIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 277-2823
Mailing address
505 BROOKDALE DR, DUBLIN, GA 31021-5511
(478) 272-1210
(478) 277-2823

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW001496
GA

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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