Individual
MRS. ERICA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
139121
KY
235Z00000X
Speech-Language Pathologist
Primary
139121
KY
Other
Enumeration date
10/22/2007
Last updated
01/04/2023
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