Individual
EMILIE M WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.S, CCC-SLP
Contact information
Practice address
20100 N 51ST AVE, SUITE E-540, GLENDALE, AZ 85308-5125
(623) 500-4201
Mailing address
20100 N 51ST AVE, SUITE E-540, GLENDALE, AZ 85308-5125
(623) 500-2401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 7933
AZ
Other
Enumeration date
06/21/2012
Last updated
03/03/2015
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