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Individual

ERIC LEE WILLMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D., LP

Contact information

Practice address
530 EAST SECOND STREET, DULUTH, MN 55805
(218) 786-5360
(218) 727-1167
Mailing address
530 EAST SECOND STREET, DULUTH, MN 55805
(218) 786-5360
(218) 727-1167

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
180005328
IL
101YM0800X
Mental Health Counselor
180005328
IL
101YP2500X
Professional Counselor
180005328
IL
103TC0700X
Clinical Psychologist
Primary
5756
MN

Other

Enumeration date
10/28/2008
Last updated
01/26/2016
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