Individual
AUDREY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17002 PACIFIC AVE S, SPANAWAY, WA 98387-8253
(253) 538-2323
Mailing address
17002 PACIFIC AVE S, SPANAWAY, WA 98387-8253
(253) 538-2323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60524751
WA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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