Individual
DANIELLE C WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
5200 PARK RD STE 218B, CHARLOTTE, NC 28209-3650
(667) 001-6068
Mailing address
3800 MONROE RD, CHARLOTTE, NC 28205-7758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014212
NC
Other
Enumeration date
12/27/2019
Last updated
01/17/2021
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