Individual
MS. ANDREA MARIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
29 E ONEIDA ST, BALDWINSVILLE, NY 13027-2480
(315) 638-6124
Mailing address
6818 JAYHAWK CIR, BALDWINSVILLE, NY 13027-1740
(315) 638-8317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009810
NY
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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