Individual
DANA LYNNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 408-4322
Mailing address
2900 LAKEVIEW AVE, SAINT JOSEPH, MI 49085-2379
(269) 408-4322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851105514
MI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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