Individual
WYCENE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST I
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 665-8183
(706) 665-8189
Mailing address
567 WILLIS RD, TALBOTTON, GA 31827-9310
(706) 269-3942
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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