Individual
DEBORAH WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 TOWNSHIP ROAD 1335, SOUTH POINT, OH 45680-7896
(304) 634-9127
Mailing address
209 TOWNSHIP ROAD 1335, SOUTH POINT, OH 45680-7896
(304) 634-9127
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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