Individual
MR. MITCHELL DONALD WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
5112 SW 26TH TER, TOPEKA, KS 66614-1422
(785) 350-3111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
559
OK
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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