Individual
YVONNE MARIE WILLIS-BENDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2968 STOCKBRIDGE WAY, DACULA, GA 30019-6867
(404) 944-1189
Mailing address
2968 STOCKBRIDGE WAY, DACULA, GA 30019-6867
(404) 944-1189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2024215531
GA
Other
Enumeration date
12/30/2024
Last updated
01/16/2025
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