Individual
JACQUELINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 WILLETT RD, ARCADIA, LA 71001-5624
(318) 607-2713
Mailing address
137 WILLETT RD, ARCADIA, LA 71001-5624
(318) 607-2713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
12/19/2018
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