Individual
KERI WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
7695 S COUNTY ROAD 25A, TIPP CITY, OH 45371-9215
(937) 667-4678
Mailing address
1363 MULFORD RD, COLUMBUS, OH 43212-3513
(618) 960-7787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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