Individual
AMOS WAYNE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3730 TABS DR STE 100, GREEN, OH 44685-9562
(330) 595-2039
Mailing address
3730 TABS DR STE 100, GREEN, OH 44685-9562
(330) 595-2039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2507382-TRNE
OH
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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