Individual
LISA MARIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 SE 20TH ST UNIT 1, BENTONVILLE, AR 72712-4008
(479) 273-9088
(479) 845-2111
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PLMSW
AR
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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