Individual
SHERITA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 619-5913
Mailing address
66 CANAL ST, BOSTON, MA 02114-2002
(617) 619-5913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
226553
MA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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