Individual
ERIC L WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10229 ORCHID MAGNOLIA DR, GULFPORT, MS 39503-9521
(228) 623-3739
Mailing address
10229 ORCHID MAGNOLIA DR, GULFPORT, MS 39503-9521
(228) 623-3739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10820
MS
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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