Individual
DR. LYNYETTA G WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
308 CLAIREMONT AVE, DECATUR, GA 30030-2506
(678) 549-2209
Mailing address
2107 N DECATUR RD, SUITE 259, DECATUR, GA 30033-5305
(678) 549-2209
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY003209
GA
Other
Enumeration date
09/16/2009
Last updated
09/30/2010
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